HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE. INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1312019 Permit Number:.
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 31 LAKE VISTA TRAIL UNIT #10'1
Property Tax ID #: 3422-500-0421-000-7
Site Plan Name:
Project Name: PAULINE NIMAN
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
HVAC LIKE FOR LIKE Z Td� 5 ro 1 i LYt4^j�- uJ T
5 IC W
1 4 Sys 12
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
✓Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
Electric Plumbing Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cast of Construction: $ Li ov S' r" Utilities: —Sewer _ Septic Building Height:
E:
Name Y \1iV
Addre • i t�1
City: Lu6 State: 'L
Zip Code :NI15 I I Fax:
Phone Now .zT 4'J
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
X3
Name:
Company: f
Address v
City: rol n f t State:
Zip Code: ;` Fax:
Phone No V-PS9
E -Mail I�x f •Co�^
State or County L ease
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
POWD ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN END TO OBTAIN FINANCING, CONSULT
W YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y R NOTItE OF COMMENCEMENT."
SihnalrreLcf Owner/ Lessee/Contractor as Agent for Owner
F�T/
Sig at a of./contractor/License Holder
STATE OF FLORIDAit,(
STATE OF FLORIDA
COUNTY OF
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The oing instr ent w s a nowledgeoefore me
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The going instru e t w acknowledge before me
this � day of ri 2a� by
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