HomeMy WebLinkAboutKavanaghPermitSLCAll APPLICABLE I FO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Z�/ Permit Number:
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
PERMIT TYPE: HVAC Equipment ChangeOut
Addr ss•
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Property Tax ID #: ��QLS .���d ✓ �1 `� ✓ ���
Site Plan Name:
Proiect Name:
Additi nal work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 7J�� Sq. Ft. of First Floor:
Cost of Construction: $ 1� ��� Utilities: —Sewer —Septic
Name
City: /� —State: / C
Zip Code: Fax: /
Phone No.
E-Mail
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name -.Steve Smith
Lot No.__i_z
Block No. �—/z—
Windows/Doors
Roof Pitch
Building Height:
Company: Steve Smith Air Conditioning
oBBrPss.8001 Eden Road
City: Fort Pierce State: FL
Zip Code: 34951
Phone No772-461-1425
E-Mail stevesmithac@aol.com
State or County License CAC1813454
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.
Fax: 772-461-2036
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 pproyhibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which ma a I
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 T E JOBSM BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YON LENDF, I R AN ATTORNEY BEFORE RECORDING YOUR NOTI" COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIQ�k �UC
COUNTY OF S� . 4 6-COUNTY OF 7
Lu C
The forgoing instrument was acknowledged before me
this Lq!yday of M n ��u 204 by
4��&VC0 SM i't4
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification L I C- E*J S E
Produced DR1VNt—
The forgoing instrument was acknowledged before me
this day of 20 by
Name of person making statement.
Personally Known OR Produced Identification k'
Type of Identification u
Produced
�N nature Notary Public- State o Flo { Stephanie Mo
LIC �F, g Jf,, � NOTARY PUE
08RAission No. 7� / a a STATE OF F1
2758 ?Comm# FF95'
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ignat a of ota Public- S to of Florid ChristoRY P
G NOTARY PU
Commission No. 2221 �p STATE OF
Coma# GG
REVIEWS
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ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
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SEA TURTLE
REVIEW
MANGROVE
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DATE
RECEIVED
COMPLETED