HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "!P- a Permit Number:
ouiming rermn Hppucatllvn
Planning and Development Services
Building and Code Regulation Division
2300 Vrgirria Avenue, Fort Pierce F-1 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PEKNII I AI'NLIC:A I iUN FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPKUVLMEN I LUCAI ION:
Address: Y,7 Lixzoc
Legal Description;:
Properh/ Tax ID h: aZ z "/�(%(% -®OD3 ��D `J� Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DE IAILED DLSCKIP I ION OF WORK:
Llls- , )-
[CONSTRUCTION INFORMATION:
Addifionai wo-r -to-b 6e-rfo—rmed under this permit - c ec a app y:
U(VAC Gas Tank FIG as Piping Shutters Windows/Doors
aElectric Plumbing Sprinklers Generator ILI Roof Rcofpi`.ch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ �'� 3 5 Utiities: 0 Sewer FISeptic Building Height:
OWNER/LESSEES CONTRACTOR:
Name jC Qd o/1 �✓P.+C� .l��d - ( Name: C U ►c T I pvlc r1 ; --
Address: ,�% QS ��% Company: Cut r,TG- ni A c ul 5 ejg-'
City: �rr�/�,GPiLG2� State: _/2 Address: 105 S r etQ -,c �1/ r• ee rk
Zip Code: Fax: City: kc%RT .S't .Luc, -� State; r�
Phone No. 7'ra 7�%- %Jy Zip Code: Fax:
E-Mail: Phone No. 3- 3-3S - 3 3
Fill in fee simple Title Holder on next page ( if different E-Mail: C u t r 5 ti -p Cc C l C t oti
from the Owner listed above) State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMEN IALCONS I RUCHUN LIEN LAW INFURIVIAIION:
DESIGNER/ENGINEER: — Not Applicable
! MORTGAGE COMPANY: Not Applicable
Name:
I Name:
Address:
I address:
City: State:
I City: State:
Zip: Phone:
i Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
Cl- r
Zip: Phone:
vp_ Phone:
I certify that no work or installation ;gas commenced prior to the issuance of a permit_
SL Lucie Countv makes no representation that is granting a permit _ill authorize the permit holder to build the subject structure
is in
which conflict with any applicable Home Owners Association rules, bvlati:s or ano covenants that may restrict or prohibit such
structure_ Please consult iith your home 0- ners Association and revie v your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I :gill, in all respects, perform the t:ork
in accordance i!Ath the approved plans, the Florida Building Codes and St_ Lucie County Amendments.
The following building permit applications are ekemptfrom undergoing a full concurrency review: room additions,
accessory structures, sa4mming pools, fences, «a?Is, signs, screen rooms and accessory uses to another non-residentiai use
WARN ING 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 «rich lender or an attomey before
commencing work or recordingyou r Notice of Commencement.
Signature of alr-ier/-essee, Contractor as Agentfer amner i Signature of Contrac:oril-icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ; 'f _ _ COUNTY OF _ -
i
The forgoing instrument :-gas acknovAedged before me 1 The forgoing instrument ryas acknowledged before n.e `
this %4 day of t*-t 20 f by
� I this /0.. day of 20 by
I i
i
(Name of person acknot:ledging ) ( (Name of person acknov.,ledging j
(Signature of Notary Public-Stat= cif Pc,-: ;a 1- - i (5ig--112ture of Notary Public -State of .:71ogr,.-~.-j'
Personally Knodtim DR Produced Identification Personally Kro.vn J OR Produced Identification
Type of Identifcarion Produced Type of Identification Produced
1�1
' C8R15iiNE8ENt5}hmission •" "
Commission No 2q sa No_ _:: _ _ - �, - .:.=
_ tt hSYCO?AMMONStGOSMS
a} EXPIRES: APrJ2021
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Ret-isedG;il5i3G14 IftZO MYG0MMW!0Y#GGG4a43
1 �! EXPIRES: APn' 4, 2021
REVlEln1S
FRONT ZONING SUPERVISOR j PLANS ' VEGI_TA11ON
SEA TURTLE
MANGROVE
COUNTER RE1'fE N REVIEW REVIEW REVIEW
I REVIE 1V
REVIEW
DATE
CONIPLE T E
INITIALS
M9
Custom Air System Inc
1615 SE Village Green Dr, Port St. Lucie, FL
34952,772-335-3232
12198 County Rd 512, Fellsmere, FL 32948,
772-571-1080
AfterHours7723590351
customaironline@gmaii.com
DATE
09/11 /2019
TIME
09:00 am - 10:00 am
DURATION
1h
TECH(S)
RONNIE
JOB#
109803
PO#
PAYMENT
Check, NET 30
CUSTOMER SERVICE LOCATION
NATURES KEEPERS NATURES KEEPERS
3795 SNEED ROAD 3795 SNEED ROAD
FT PIERCE FL 34945 FT PIERCE FL 34945
(772) 467-1230
z
Description
SUB -TOTAL: TIME & LABOR
$0 00 $0.00
CUSTOMER MESSAGE
Thank you for your business
Qty Rate Total
EXPENSES: PMTS/DEPS: TOTAL DUE:
$0.00 $0.00 $0.00
PRE -WORK SIGNATURE POST -WORK SIGNATURE