HomeMy WebLinkAboutBuilding permit appAll APPLICABLE I FO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �f CJ Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982 V/
Commercial
Phone: (772) 462-1553 Fax: (772) 462-1578 Residential
PERMIT TYPE: HVAC Equipment ChangeOut
Address:
Property Tax ID #:
Site Plan Name:
Project Name:
Like for like AC replacement
s
Additional work to be performed under this permit –check all that apply:
!/Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing
_ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ —9-Zl�
Generator
Sq. Ft. of First Floor:
Lot No.5—'–
Block No. _ 72
M
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
Name. �"�rN�i
Address: 7M -V �v
City: _% //t/t'i State:fZ
Zip Code: �yh�I Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
ninrn,-Steve Smith
Company:Steve Smith Air Conditioning
A,Mr,,,• 8001 Eden Road
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-461-2036
Phone No772-461-1425
E -Mail stevesmithac@aol.com
State or County License CAC1 813454
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.
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
stlructure. conflict
lease consult withpyour applicable
ome Owners Association sand review your deed forven restri t ons which may a. prohibit such
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 JOB BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y-LENDF/ R AN ATTORNEY BEFORE RECORDING YOUR NOTI" COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S -s L—u C,N F COUNTY OF T -
The forgoing instrument was acknowledged before me The for�ing instrument was acknowledged before me
this LQtyday of �� 201 by this
day of(L20 by
�<&VEN �M %'V 14
Name of person making statement. Name of person making statement.
)c'
Personally Known OR Produced Identification �_ Personally Known OR Produced Identification
Type of Identification Type of Identification u
Produced D(2 VE(i. L I C- h''!; E Produced
DATE
RECEIVED
COMPLETED
Notary Public- State of Flo 5tepnanie
NOTARY F
No. �F ger 7 A l a STATE OF
? Comm# FF
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
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Christopher J.
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NOTARY PU
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Commission No. ZZ�-1 "
STATE OF
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REVIEWS
FRONT
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SUPERVISOR
PLANS
COUNTER
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
COMPLETED
Notary Public- State of Flo 5tepnanie
NOTARY F
No. �F ger 7 A l a STATE OF
? Comm# FF
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW