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HomeMy WebLinkAboutBuilding Permit Application 10/23/2018 11:54 5613033241 A EXCELLENT PAGE 01/01 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /mai_ Date: 10-19-2018 Permit Number: t/ V f COLINTY „,* 1-la•F. ( r1 Building Permit Application Planning and Development Services aullding and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial YES Residential PERMIT APPLICATION FOR; Mechanical vi';;ITlirtforsitetzowitoriato.-...wonspaseisiryiv,*.fzei.,4040,441-tamisittat Address: 353 PRIMA VISTA BLVD Legal Description: RIVER PARK-UNIT 48LK 39 LOT 30(MAP 34/28N)(OR 1221-2543) SEE ATTACHED property Tax ID#:3419-530-0216-000-0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front • Back; _Right Side: LeftSide: ikeicos4, EXCACT AC CHANGE OUT 5 TON, NO DUCTING, NO ELECTICAL WORK. SEER 14.10 KW 9_6 IltiWIMIltiegnfirgfiTOMPFOSIMCIFOMMERMIToratr'A-41.4Rato , 11 110.0141;i4i Ittlekatadaii'7,*.visititt4AtulklittidlaigielttagifiaingfistaWaliiigitftil0% .;gf.1Ztagirelii4.iittidt;AEafi lona wor to e orme• un.er rIisperml -c ec a - apri)1: - — HVAC Gas Tank I—Gas Piping Shutters LI Windows/Doors Electric Plumbing • ESprinklers ,r-]Generator 0 Roof 1 1 Roof pitch Total Sq.Ft of Construction: 5 Ft.of First Floor: Cost of Construction:$7,150 Utilities: Sewer Septic Building Height: '''IMITMEMMEMPAWATIO Mal MittetaFT MPlig4MMR/RIPTPK71 NemeADvANCE AUTO PARTS Name: WALTER WEISS JR AddieSS:PO SOX 2710 Company: A EXCELLENT SERVICE INC 9121 N MILITARY TRAIL,#103 City: ROANKE State: VA Address: Zip Code: 24001 Fax: City: PALM BEACH GARDENS State:FL Phone No.561-383-3855 Zip Code: 33410 Fax: 561-383-9841 E-Mail:_ Phone No. 561383-3855 Fill in fee simple Title Holder on next page(if different aexcellentserv@aol.com from the Owner listed above) State or County License: cAC°24389-. if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 10/23/2018 10:40 5613833241 A EXCELLENT PAGE , 03/06 s- .M h.. � .o':1St t.9 �I: ko- 9' � I I � ��TIiqs-:�+Y: ; .:,� � �fy' :' i � � " v ,i1`;-,k2,041.1,1$rYV i-.,". ,t:cal-4 �ih n�16. o- ��� 'HI d� ,Sa�$i ti���` 1� ,�-A1�4 ,�� � SM� 1 . s„ 44::'7. i!,s� y . Um,�Y; - �, Ni � i , C �kaIh0s �� it:47� s; 1 ' 11,A0{6y S( p1`� }� ?wa��VZ�dd,:�0hf4iLlA1,�1 }HPNMAr.t _ F_17CS' ?t/.1 �i.yZikAyA:�.v1• DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name:JAMES BUSHOUSE N a m e:N/A _ Address:3300NE1OTH'TERR424 Address: NIA City: POMPANO BEACH L State: FL City: N/A State: NA Zip: 33064 Phone6$&491-©212 Zip: WA Phone:NIP, , FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name:NA Name:N/A • Address:NM Address: NAA City:NIA _ City:NIA Zip: NIA Phone:N/A Zip: N/A Phone:N/A OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work . • in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments_ The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for ' improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before comments n ork or recording yp'r otice of Commencement. ,ZA/e5 4' , ..,_, , Signature of Owner/Lessee/C. tractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFP,LM=.A.+ • COUNTY OFFAL” . „ - I The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 22 day of OCT _,20 by this 22 day of oar ,20 by WALTER WISS JR WALTER WEISS JR Name of person making statement Name of person making statement ' Personally Known r^'°°°^m OR Produced Identification Personally Known maGom oc OR Produced Identification Type of Identification Type of Identification Produced ' - Produced i, Al Signetur- of Notary I) •lic-'tat- Public-MI .-1:. •. ..0"1 fir of Notary P .. is' .1y . • .ti ,a Camtnlaalon! 921 Y,,-- a; / KAREI r ictEi:L }: My Comm. xpire'0q4 FF 927423 li F' State et Fin Ida FP ry..•-',...._-4,:t My n NO. P1gI11C•. • Co mission No. tip •+ "", Baide0Mat it iOn1*toy A*. nu Iinlan FF 92742 k4;-:"1" My Comm.EiDires Act 14 2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 1