HomeMy WebLinkAboutBuilding Permit Application 12/05/2018 03:27PM 7724612036 Steve Smith A/C PAGE 01/02
ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECED
RECEIVED
DEC0 6 Z�Jt
Building Permit Application DE0 6 2m
Planning and Development Services niging
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Building and Code Regulation Division ST. Lucie Get'OtVl,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(77'2}462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Legalpescriptlon:
Property Tax ID#: J'�O—45;�71< fl Lot No.
Site Plan Name: Block No.
Project Name-_..
Setbacks Front Back: Right Side: Left Side:
........................
Wt one Wwor o e ormed uncler tis parmit—check a app Y:
ISHVAC Gas Tank Das Piping shutters F]Windows/Doors
Electric Plumbing OSprinklers Generator 0110of Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of construction:$ utilities:0 Sewer USeptic Building Heigh't-
Name: sieve W11h
Address Company-Steve Smith Air Conditioning
city.. State: Address:8001 Eden Road
zip Code: City:Fort Pierce FL
Fax: State:
Phone No.
?/ 772 461-20313
r—&7T Zip Code: Fax.
E-Mail: Phone No.772 461-1425
Fill in fee simple Title Holder on next page If different E-Mail, stevesm1thac@aoI.*om
from the Owner listed above) State or County License: CAC181:3464120071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
12/05/2018 03:27PM 7724612036 Steve Smith A/C PAGE 02/02
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DESIGNERANGINFEER' NotApplicable MORTGAGE
ORTGAGE COMPANY:
Not Applicable
Name: Name:
Address: Address:
City: State: city. State-,
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY!--- Not Applicable
Name: Name:
Address: Address:
City-
Zip: Phone: Zip: Phone;
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 Wild 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.Pfease.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
commencing work or re din your Notice of Commencement.
of caner/
Signature Lessee/Agent Signature of Co Cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The famoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this, �J_ day of ILIA,( 20 is-by chis A—day of 20 j_rj_by
(Name of person acknowledging) (Name of person acknowiedging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida
Personally Known OR Produced Identification Personally Known X - OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Na_ Ifs , dg" Oml*A"NY*mlmvtP&%nissionNo.rp)4:�IIC)-I (Seal)
NOrAR
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2AMNOTARYPUBUG
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Revised 07/15/2014 Evkn 5/11IM19 COMW FF231202
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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