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HomeMy WebLinkAboutBuilding Permit Application j f Mar 03 20 01 40p Riccia`rd's Heating&Air 2 1 863-357-0790 t _ =z= p 1 d 4 AllAPPLICABLE INFO,MUST BE COMPLETED Ft3R APPLICATION T©BE-AtCEPTEQ 'r Dat?: : Permit j' RECEIVED n, MAR 03;2020-: } BulElding Pe'rMit Ap lI on,­- , k: Planning rind Deve(oprrtehtServrces at ST l:uae County, permitting. Barltl�iig nnd_Gode Regulation Diursron p z 23007 Virginra,AvenWe,-Fort Pierce FL 34982 Phone (772:462-'.'1553' Fax (772'462 1578 Cammerciai Resiteritiaf '; PERMTTYPE f N r r r P'ROPbSEC?_li�lPROVElVll5'Lt�CATIo ;Address ? Property Tax'I LOt No. - s? Site Plan Mame x:11^'r�. lr Yi �J .rr� %r ( .�r� ! Block No .� Ly _ } DETAILED DESCRIPTION OF WORK:, +y-: liftr.' '. /':f'l'/i !/�ri'r✓� CONSTRUCTION INFORMATION Additional ork ta+be`performed under this permit check all that apply D� �'•• Mechar7ical;' bas Tank Gas Piping Shutters Windows/Doors Electric':, °Plumbing Sprinklers Generator Roa Pitch Total Sq .Ft of Coristructton; .77 Sq.Ft of First Floor: Cost ofi Cr�nstruct�on:$ nC Utilities: Sewer Septic Building.Heiglit: OWNER/LESSEE: '. CONTRACTOR. . Name,fi7rtrflty 5 Name ���,F4L" r ell Na Address: �'�i'! r7� cT///lv !` ' JC.%4li :Cot77pa �- City. e State jr ',Address' .7: Zip Code:�' F5 � Fax:'•'' City:'i �' r a .r�; State •fr f Phone hlo �2 S` Sr' �'�` Zip Cc►de:3�i ra Fax: Mail Pthone No r`=�3: -` ;.:e 7d : Fila intie' simple Title Holder on,next page(if.different 'E-Mail from the Owner listed.abovey' . State or County License , L:. Y/_ `s.� 1f value of•constrsictloi is$2500.or more,a RECORDED Notice of Commencement,is required; if;value of HVAC is$7,SDP or mace,a RECOR€1ED Notice of Commencement is rerjpired. Mar 03 20,01:40p Ricciardis Heating A Air 1-863-357-0790 p•2 -� SUPPLEMENTAL CQNSTRUCTlO� ''E{�"LA1�V INFOI�iViAT{ON: ' .'� DESlGNERf EAIlNI~El : �tGt_Appl:cabie MORTGAGE CdMPANY: Not Applicable Name: Name: ! 'Address: ilI Address; -' City State: i City: State: Phone [ ZIP: 'Phone: Fit 51MPLl:TITLE:r€t}LbER: ,.t '1lot Appiic2ble I BONDING COMPANY:, Not Applicable Name: { Marne: Address- Address: "City= .City: ( Zip: Phone: Zip: Phone: OWNER/dONTRACTOR AFFIDVIT:•Application is hereby made to obtain a permit,to do the work and installation as indicated. 1 certify that no work or instaliatlon has commenced pr ibr to theissuance of a permit.,• St.Lucie Count+makes no representation that is grand ig a permit will authorize thepermit holder to build the subject structure Which is in Con,lict,.lith any applicable Hone 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. .n consideration of the granting of this t equesied permit,l 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. —he follovting building permit applications are exempt from undergoing a full concurrency review:room additions, accassory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use "I'AReZAR,G TO OWNER: YOUR FAILURE To RECORD A NOTICE OF CEBMMEIi1e..lr: IENeIT MAY RESULT IN YOU.q PAYING *nV&CFc FOR iMPROVEMEliffS TO YOUR PROPERTY. A MOT ICE O COMMENCEMENT MUST SC RECORDED AND V OSTED ON 'r 4F= JOB SITE 13�745R2E THIE FII1ST INSPECTION. aF YQU ERITErm To OBTAIN ANCING, CONSULTWITFB'OUR LENDER C! ANS ATTORNEY BEFORE RECORDING Y€'curl NOTICE1017 C+OFr9fMEN -MEs Signature of Owner/Lessee/Contractor as Agentcaner Signature of CantractorJticense Hoider STATEC)1~FLORIDA STATE OF FLORIDA i I COUNTY OF COUNTIYOF The fording instrument was acknowledged before me The forgoing instrument was acknowledged before me this 3�' day of OC-kD �j.o� 20� by I this day of r 10 by {�{ 1"f l t?RC1 K'L`In I Name of person making statement. L � Name of personmaking ement. Personally Known OR Produced Identification ! Personally Known ' CSR Produced Identification Type of Identification Type of Identification Prgduced F,• I (Sig,ature of Nota) Public-State of Florida) (Sign Cure of I�3otary ub s-State of Florida) Com issia 0� v-,f 1;•SIHMDea Com ssion �►+ �. r�J^;�`-^` ;a:ary>cyh:•5[aiC o'% mhli Gas Vit+}"„�` XELiE J.SWE-1 Cqr„mrssicr.:GG 315Solar•1?epGc•state OFFierida :>�rras•`y REVIEW -o�gh •t' ?�hsa Ac ccm�..-1:mrs Q73 I SUPERVISOR PLANS EGE C13�t {:,rcdgtSkAoTJ; j4Sn HANG.ROVE I COUNTER i REVIEW I REVIEW � REVIEW � = REVIEW 1 DATE l RECEIVED DATE { ? COMPLETED Re1/7 Tf^— I