HomeMy WebLinkAboutBuilding Permit Application All APPLICABLUNF.O:MUST BE COMPLETED FOR.APPLICATION TO BEACCEPTED
Date: 2128/1.9 Permit Number:
RECEIVE®
FEB 2 9 2019
. i
Building Perrnit;-Appl�catro ST. Lucie Count , perfilFi{{fig
Planning avid DeMopmentServlces'
Building and=Code.Regulafion Division;
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462 1578! CO[11mercial. Re de
XE
PERnnuTnPE AC CHANGEOUT
ROPOSED�IMPR01/EMEN1'LOCi4'TIOt�•� � � _ � -m-�-�� _ g .v: �- --.. K��,
Address: "-13 SHOREININD3'DRIB, FORT PIERCE 34949
Prcperty'Tax.ID:# 1425-701-0019=010=9.' - Lot No:
Site.Plan Name:' Block No.
Pro�ect'Name:
Tx
-
L-1KE FOR LIKE`AC CHANGEOUT _ _
a,
CONSTRUCT( N NFORMATION
t• - a
-Addi.' nal work to.be;"p_erformed .under this permit-check all that apply:
Mechanical _;Gas Tank _Gas Piping w Shutters _Windows/Doors
_Electric _Plumfiing, _Sprinklers Generator- _Roof __ fitcl
Total Sq. Ft of Construction:. Sq..Ft.of.First.Floor'
:_-
r'Cost of Construction:$4250.00_ _._._ _ Utilities: _Sewer _Septic Building'Height
i QWNER L� ESSEE C p NTRACTC?f�
Name804 Shorewmds DR LLC IVarne;PHILIP-,NISA JR'
Addressi7437•Bob O_Link WAY' :Company;NISAIR AC
_ . - - -
City:,PORT ST LUC15 State.- Address.,37 .
00;S. US HIGHWAY 1
= ip Code 3.4.986 - _-"-Fax: . ,
,FORTPIERCE State FL
o.772-631177PhoneN
Zip Code: 34982 Fax:
it E-Mail:, Phone No772-466-8115'
- -
FUI In fee-simple Title Holder:on next page('if different E-MaiIKRISTIN@NISAIR.COM'
from-the Owner listed :above) State or County License CAC041199
if value of construction is-;$2600 or more,a RECORDED Notice of Commencement Is required.
'If value of HVAC is$7,soo or-more,a RECORDED Notice-of'Commencement is required.
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�NI-Vt. If I I "ia41N 111 FtMA = 1 y
_Swnn ;t
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DESIGNER.ENGINEER: _;Not A licab e
pp �: 'MORTGAGE:COMPANY:. Not Applicable
°Name:: Name: ;
Address: Address:
City: State: City:, State:
p PFione:. - Zip r P-hone:, _.
FEE SIMPLE'TITLE,HOLDERi _Not Applicable BONDING CDMPANY•m _Not':Applicable'
Name• Name:.
Address: Address:
Zi Phone:
Zip, Phone:: p.
! OWNER[CONTRACTOR AFFIAVIT::Application is hereby made to obtain a permit to do the=work and.installatlon as indicated ;
I certify'#hat no work or nstellatioh has:commented#Nor to.the issuance of a-permit.
St.Lucie Countv makes na represe,tation that.is grari#ing a permit uulIttill authorize the ermit hoider.i6 build the subjdtt.strdctUrd
which is$in conflict°.wlthsany applicable Home Owners Association'rules„bylaws oran'cov-enants`.that may-restrictttor prohibit such
:structure',Piea"se.consuit with your Hame Qwners•Association:and'i eview-your deed for any .restrictions which may apply.
I Iii eonsideration of the granting of this requested permit,I do hereby agree that l will,InAl_I respects,perform the work
In accordance with the approved°plans,the Florida;Building Codes and St:Lucie[ounty Amendments:
Tlie following budding permit appl[catIons'are exempt from undergoing a full concurrency-review:room additions,,
;accessorystructures,swimming pools,fences,walls,signs,screen rooms and"accessory uses to ai other;non-r`esideritiai use
91MARNING TO OWNERi. YOUR FAILURE TO'RECORD X NOTICE OF COMMENCEMENT.MAY RESULT IN YOUR PAYING
Ty”__CE=FOR IMPROYE11 TO-YOUR PROPERTY.•A NOTLCE.OF COMMENCEMENT MUST BE'RECORDED AND
POSTED,ON"THE JOB SITE BEFORE THE FIRST`INSPECTION :IF YOU INTEND TO Q AIN FINANCING,;CONSULT '
°, YOUR•.fEJ:NND ..-0 ;AN ATTORNEYMM"', E;RECARQINfx` UR°NOTICE="OI: O Com:"
_ _ _
E-Z Ai i NO
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Sign Lure:of O n"r�lessee on radar as Agent for Owner Signature of M rattot/Cicens b er;
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STATE OF FL ._IDA `'
• - STATE IDp-
COUNTY OFsT.LuciE_ COUNTY OFsTlucrc.
AIL
T The forgoing instrument.was acknowledged_before me °The:forgoing instrument was acknowledged before me
this`aam day o€FEeRuaRY__ ,ZO by #his 28TH day of FEBRUARy ,20 'by
i; PHILIPNlSAJR PHILIP�NISAJK
Name of person maktng;statement. Name of person making statement.
personally Known X' OR Produced Identification: Personally Known_'X° OR Podraced Identification, {
T e ofCdentiflcat
yp ion Type of_Identification_.
i
Produ d _ Produced
= 1 t
r
S
( lg4 atute of Notary Public i "`ature of.N. ry;RObli
Tli�:BAITSHOLT "' 1N gA1TSHOLTS
Commission No. Stnpr`Ste�Rjfi�r$Sgrida Notary Pu iSi _ �•, �pr�da Notary Pu4�
cc2resa� ^: pn ii GG'27852 �' mrnissionNo:oos�es2z t
i >'E5Co��ion #.GG 278527
My Commission:Exprr4 g" �' lyy Gammrssro �x ►res,
Fa ruar ,1.9, 2U23:
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REVIEWS' FRONT ZONING SUPERVISOR PLANS VEGETATION ,SEATURTLE MANGROVE „
COUNTER REVIEW ^ REVIEW REVIEW REVIEW REV.IEMT REVIEW
DATE
3 RECEIVED-
DATE
( F
COMPLETED` .