HomeMy WebLinkAboutBuilding Permit Application y,. .--.-r..- ..__....;-„ ..-..._-.-.............r-.. ...___.. ,.._.._... _.^_-.,- �..,._,� ..i..._. � - .-r•M �,r.,; ..,..E
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A11.APPLfCABttc IIVF� US?BE COMPLETED^FOR APPLICA'[I�N TO_iE ACCEPTED' �d
Date � . 2Q Permit Number ��� "l,
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Qlannrng:ar�tl bevelopme�rt Servrces r
. utldrrtg and Code R�gr�latron,!?urs�on
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2300r inJa Avenue,>Fort Plerce F6.34982
9 R,
Commercta Residential_�
Rhone.,(772 '4"62,1553 Fax t.772�4.62158 _
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PERMITTYPE HVAC �qutprnent C'h,argeQu
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Site. 'lap Name;•°
Block NQ° �s:
Project Nam
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Like for Tike AC,[epfacernent.
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Nddit[o Mw ork-toa6e.perPorrried undeF this permit cheek alf that appty,
echanucaE, _Gas Tank. _Ga's Piping .. Shutters _WlndowsJDaors
Electric"`' P;lumbing Sprinklers Generator _Kopf Pitch .
Tota(Sq..Ft of:Canstructiort �/p Sq Ft of First Floor,
Cost of Construction : y.��� fJtilities. Sewer " Septic Building Height
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Name , r . iia ar, Name S
teye Smith
Company SmithSAir'C ng
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Stege ondit�ani
Cityc` ./' lll� : 01 Eden Road,
Stave r Adds`ess ?
Zip Code: 3' 5?1"I Fax Gty; F State F
art Pierce L
Phone No. -.f7?�v��/r� Zip.Code, .4951 Fax. 772=461;21136
E Mail:: iVo7
FiII in fee sifia I-tfe Hoider on next page(if different E._Mai hac@aoI
lresrriit' eom
froiii the Owner Iisteii abaiie) State or County License CA
01813454 -
If value of pprig,ruction;is$2500`or more,a REGdgbtd Notice`of Commencement is required
f..f value;of W4C.' $7,50Q;or more,a;RECORD, Notice"af,6ommencement fs,requrre l s
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IDESINER/ENGINEER: T Not A""licableP -MORTGAGE'CQMPANY: N;ot Applicable
ame: Narnev.
llddress: 'Address,
City; - State: Gty State. .
Zip: Phone „ Zip, Pone:;
'FEE SIMPLE"TITLE.HOLDER:; _Not Applicable ,B"'ONDING`COMPANY: �NofApplcable
Name--, - Name:
:Address: Address. . .
_ _ _.
City: - City:
Zip: Phone:_ Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:,Application is hereby-made to.,obtain a'permit"to-do th.e,work and installation as indicated.
d certify that no-work or installation has,.commenced prior to the°i§ ar ce of a permit.
St..Luc►e Eountyy makes no representation that is„granting a-permit.will"authorize.the-perrriit holder to,build thesubjectstructure
which ls'in%contiictawith any.applicable Home Owners Assodzitionrule's,bylaws'or-and'covenantsthat may,restric :or prohibit such
structure.Please consult with"your,Hgme Owners Association'and.review your deed-for any restrictions which may=apply:
In.'-consideration ofthe granting;of this.requested permit, I do hereby agree that.1 will,in all respects,,perform the work
in accordance-with the;approvedplans,,the Florida'Building Codes;and St'.Lucie County Amendments.
The following building.permit applications are exempt from undergoing a.full concurrency-rev{ewf:room additions;,
accessory structures,swimming pools,fences,walls,signs,screen rooms'ancl accessory uses to anothernon-residential use:
_rARNING TO OWNER:YOUR"FAILURE TO',RECORD} A NOTICE OF,,CO,MMENCEMENT;MAY RESULT"IN YOUR PID' G .
TWICE FOR IMPROVEMENTS TO YOUR. PROPERTY. A NOTICE OF COMMENCEMENT :MUST 'BE RECORDED ,AND
POSTED ON: E JOB, BEFORE THE FIRST INSPECTION..IF"YOU INTEND TQ•OBTAIN FINANCING. CONSULT
WITH Y END R, I11°ATTORNEY 9EFORE RECORDING YOUR' QTfC COMMENCEMENT.",
,
Signa ture.ofOwner/;Lessee Contractor as"Agentfor Owrier" Sigrature.of Contactor/Liven§e Holder
STATE.OF FLORIDA STATE OF"FLORID ,
COUNTY OF S-r (amu t N F COUNTY OF. �•Lyr �.
The forgoing instrument was acknowledged before me The foxing instrument was-'acknowiedged'before;me
th"' i41yday of =A/1a�c �+ ,204 by this.L}d�ey'of j,4 120_49 by
,Name-of person 'Making,statement.
Na`rCie-of person making statement.
Personally Known OR Produced Identification_, ;Personally Known OR;Produced-identification
Type of Identification Type of Identification
-Produced 'A VHL f• 1 -S E Produced L Q L
Cgnatqle of ota Public-S, to of Florid ' ; Chrtstophefl nature, Notary Public-State:o Fto" Stephanie Mair
NOTARY PU LIC, ���oo NOTARY RUBLI
Commission No:` ZZZ1 �j STATE OR @gtDRvission"N"o.�F"4�'^7"�0 /" STATE OF FLO 1
Comm#GG,. ._7158 Com",FF,
., 1�+ - a
REVIEWS FRONT ZONING SUPERVISOR, PLANS VEGETATION SEA TURTLE MANGROVE.
"`COU"LATER REVIEW REVIEW REVIEW "REVIEW REVIEW REVlEV11`
DATE
RECEIVED
DATE
COMPLETED
ev.,
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