HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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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: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRADR 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 cvrnmen ced prior is the issuance of a permit.
St. Lucie County.makes no representatian that is granting a permit will authorize thepermit hoiden to huild the subject structure
which is ire contiirr�ct with any applicable Hame Owners Assaciation riles, bylaws ar ancovenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
1n consideration of the granting of this requested permit, ! do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Caries and 5t. Lucie Count} Amendments.
The following building permit applications are exempt from undergoing a full cv.ncurrertcy review: raorr� additions,
accessT structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another non-residential use
"''IrlfAc�11lIiG TO OWNER: YOUR FAILURE TO' RECORd A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PRQPER'TY, A NOTICE OF COMMENCEMT MUST BE RE[01WE[3 AND
PASTED ON THE JOB SITE BEFORE THE F[RST INSPECT -ION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
lhiTH YOUR LENDER ORJM-ATTORNEY BEFORE RECORDING YOUR NOTICE OF CUMMFW�EMENT,"
et
Signature of Owner/
STATE OF FLORIDA
COUNTY OF S
ntractor as Agent for Owner
The foine s�istrume t way ac owledged before me
this r vday of d � 2-0 19 by
Name'...Of
Pe
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dr
on making;st Cement.
Personally Known _-... --OR Produced Identification
Type of Identification
Produced
(Signature of Notary PubNc_, Af FWWZ � f R E S N ! L L D
Commission N- 0 Z
REVIEWS
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Stake of Florida -Notary Public
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rtM ly iion Expires,
December 22, 2022
FRONT
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REVIEW
SUPERVISOR
REVIEW
I DATE
RECEIVED I I I I
DATE
COMPLETED
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STATE OF FLORIDA
COUNTY OF
The fvrgving insiru end was a� nawledged before me
this _ .. �,��day of S , 2�3 t °� by
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Name of persv along
Personally Known
Type of Identification
Produced
(Signature of Nota
CommissionNo.
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VEGETATION
REVIEW
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OR Produced Identification
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-my Commission Expires
i,eGerr:ber 22, 2022
SEA TURTLE
REVIEW
MANGROVE
REVIEW
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All APPI-WICABLE INFO MUST BE COMPLETED FOR APPLiCATION TO BE ACCEPTED
Date
Permit Number:
Planning d Development s
Building and Code Regulation Division
0 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1 Fax: 462-1578
PERMIT TYPE: Air Conditioning
Building Permit Application
Commercial Residential X
PROPOSED IMPROVE ME.NT LOCATION:._-
Address: 2892 HARSON WAY
Property Tax ID #: 10007 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
A/C Change out like for like to existing ductwork and Copperfine, Payne straight cool
2.5T3 5 KW, 14 Seer
Ile
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit — ch�ck all that apply:
�Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: T
host of Construction:$ (),00
Gas Piping
Sprinklers
Shutters
Generator
q. Ft. of First Floor:
Utilities: ---- Sewer Septic
Windows/Doors
Roof Pitch
Building --lit:
OWNER/LESSEE:
CONTRACTOR:
Name Chibert Fervily
Name: Jorge F Granadillo
Address: 4481 SW New CT
Company: Grana Electric & Air Conditioning, INC
City: Post St Lucie state:
Address: 3073 SW Ann Arbor Rd
Zip Cade,, 34953 Fax:
pity: Port Saint Lucie State: f I
Phone No. 7726262859
ZipCode: 34953 Fax: .'
E-Mail:
Phone No (772)342-!9713
Fill in fee simple Tine Holder on next page if different
E--Ma;i granadillo69@)yahoo-com
from the Owner fisted above)
1815557
State or County License j
If value of construction i or more, a RECORDED Notice of Commencement is required.
If value of HVI's $7,500or more,, a RECORDED Notice of Commencement is required.
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