HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —,R—a 0 Permit Number:
RECEIVED JJJ
Building Permit Application 1AN ®Department
Planning and Development Services perMittm9
Building and Count"
d Code Regulation Division St,Lucie Cou
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, clickarrow at the end of line
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PR POSED IMPS CfVEMItMT LOCAT1011✓. !i%.
Address: 126 QUEEN CHRISTINA CT
Legal Description: QUEENS COVE-UNIT 1- BLK 9 LOT C (OR 4249-2793),
Property Tax Ili 1414-701-0075-000-2 Lot No.C
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
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Additional11
work to be performed under this permit—check a appy:
❑HVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2200 Utilities: Sewer Septic Building Height:
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Name William&Maria Bitetto Name: Frank A DeTura
Address:126 Queen Christina Ct Company: Morningside Pools
City: Fort Pierce State:FL Address: 1768 SE Port St Lucie Blvd
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.914-548-0492 Zip Code: 34952 Fax: 772-337-2737
E-Mail:wvb20209gmail.com 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.
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable'
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1788 SE Port St Lucie Blvd Address:
City: City:
Zip: Phone: Zip: Phone:
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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 thepermit 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 work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stLu=e COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of ►�c cV✓Qr� 20_ by this day of _l���d k� 20_ by
Name of personmaking statement Name of person king statement
Personally Known v/ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Not Public-State of Florida) (Signature of Notary Public-State of Florida)
MWAUN
Commission �� ) Commission No.
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OFFVP BW4W?hu&0PdNft78 dW _V'r'W , eadedihoBuepeNftyS�bes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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