HomeMy WebLinkAboutMECHANICAL/HVAC RESIDENTIAL- REPLACEMENT SYSTEM 10/24/2018 03:04PM 7724612036 Steve Smith A/C PAGE 01/08
ALL APPLICABLE I OMU OF COMPLETED FOR APPLICATION TO BE ACCEPTED
T 0 Iq
Date-, ze;�'7 Permit Number:
RECEIVED
Building Permit Application OCT 2 5 2018
Plonning and Development Services
mitting
Budding and Code Regulation Division ST. LUdQ c0untylfar
2300 Virginia Avenue,rort Pierce FL 34-982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
5111
Address:
Legal Description.
X re-1';'Y Iva -T za
Property Tax ID#: 0V 0o0r) Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back: Right Side- Left Side:
4(
'31 ci of 6 U/
7!77777
111111Z :11:%111201 1 Im
III! � I
1IjII
4 Fdifio11alRworK*tobe-ve Wormecil under,this permit—cnecK all tm apply,
E]G g-011 VY
HVAC Gas Tank as Piping Shutters Windows/Doors FT
Electric Q Plumbing 0Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction, �W Sq.Ft,of First;Floor:
Cost of Construction: -71 52;�rC 7 Utilities:11 Sewer Septic Building Height:
Name d Name: SIM 5-dh
CompanI Steve Smith Air Conditioning
City:Z��z State, Address:8001 Eden Road
Zip Code: T City- Fort Pierce State:
FL
Fax- FL.
Phone No. rjjIL-7 Fax,772451-2036
157ellf' Zip Code- 34951
E-Mail: Phone No.772 461-1426
Fill in fee simple Title Holder on next page(if different E-Mail.,stavesmithat0_aoI
from the Owner listed above) State or County License: CACI 813454 20071
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
10/24/.2018 03:04PM 7724612036 Steve Smith A/C PAGE 02/08
2 ,
NON Hills 11 1111
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State*
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _XNot Applicable
Name: Name:
Address: Address:
City; City:
Zip: Phone: Zip:— - Phone:
I certify that no work or installation has commenced,prior to the issuance of a permit-
I
St,Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is incofct 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 6mmencernent 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
commencing work or re din your Notice of Commencement.
Signature of CAcaner/Lessee/Agent signature--of-cofitractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo, oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of_JQat.. 20 _LS-by this AL- day ofWA-L 20 _!S by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Ifotary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of Identification Produced Type of identification Produced
Commission No. MOO"Nwsm OCMrnission No. (seat)
IWYMY 10� . NWhoist N6IMSwftAVWh
STATE OF PL OR DA Afftk NOTARY PUBLIC
• CZfflWfFnWk-r $TATE OF MORIDA
Revised 07/15/2014 E> t gJ l71Zdt9 Comm*FFZ1202
— 611712019
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION 5EATURTLE MANGROVE
COUNTER REVIEW REVIEW -REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS