HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T Permit Number: c�
RECEIVED
Building Permit Application
Planning and Development Services DEC U 3 2018
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: Cl/2-C PSL-- 3��2 iib
Legal Description: POD 19 PUD II GREENBRIER(PB 41-5) LOT 41
Property Tax ID#: 3322-700-0046-000-1 Lot No.41
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Replace Existing Heat Pump with Thermeau TH-125 COP
itiona
work to e e orme un er
1:7G
ermit—c ec a appyHVAC Gas Tankas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2200 Utilities: Sewer Septic Building Height:
Name Richard J&Marie V Humphreys Name: Frank A DeTura
Address:7666 Greenbrier Circle Company: Morningside Pools
City: Port St Lucie State:FL Address: 1768 SE Port St Lucie Blvd
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.610-724-9825 Zip Code: 34952 Fax: 772-337-2737
E-Mail:foxdale362@comcast.net Phone No. 772-337-7151
Fill in fee simple Title Holder on next page(if different E-Mail: morningsidepools@bellsouth.net
from the Owner listed above) State or County License: CPC-1456784
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not 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.
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
commencing or recording our Notice of Commencement.
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�Signature'66f Owner/ essee/Contractor as Agent for Owner Signature of Contr ctor/License Holder
STATE OF FLORI�A STATE OF FLORIDA
COUNTY OF TA LLL 6 2 COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of,�)eGe e(' 20 �by this day of 1\2C2h,,L6�Lx ,20 ['� by
AY
(Name of person acknowledging) (Name of person acknowledging)
0"' OL - ZZ'tt- e Q ,,,— I fx �x..
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida-
Personally
loridaPersonally Known ---'OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No (off eal) A,;�LN!'f11R Commission No&Lt&`]t( ;<,. �FxY►r„LSeal) g�pq,k��
* C�gtnmis i IM 181484 r°.••�
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA.TURTLE MANGROVE
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DATE
COMPLETE
INITIALS