HomeMy WebLinkAboutBuilding permit application Feb 27 20,01:32p Honest Air, Inc. _ 77 -232-1118 p.2
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z 1, ,,/. Permit Number: ®O9
_.._.......,•...... :... . . 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
PERMITTYPE:
.PROPOSED IMPROVEMENT LOCATION: '
Address: 1 At or !P AIQ- / .A.1
Property Tax ID#: -f ? ° t ✓l✓ d r Lot No.
Site Plan Name: bA►VLE T;�-,69 ) 0— Block No.
Project Name:
DETAILED.DESCRIPTION OF WORK:
`.f 5;rte. ),4V (Aj 15', bco A 7V
PLO
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers T Generator —Roof Pitch
Total Sq. Ft of Construction: ��' ` Sq. Ft.of First Floor:
Cost of Construction:$ �' o Utilities: —Sewer _Septic Building Height:
OW N-ERAESSEE: CONTRACTOR:
NameName:
Addrescx;- i t-7 l .� Company: Xw,
City: dl� k-'�.s Stater Address ' ,
Zip Code: at r Fax: City: 'State: "
Phone No.
q �G L� Fax:
� ,� `.� • fv r Plr') G- Zip Code:
E-Mail: Phone N��or����� �✓�4�� �C�
Fill in fee simple Title Holder on next page(if different E-Mail riv�'V� l-�L('Q �� .�r'/zz-/•`'
from the Owner listed above) I State or County License "
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.
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Feb 27 20,01:32p Honest Air, Inc. .
7232-1118 p 3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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 JOB SITE BEFORE THE Fi74T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDFRA*AN ATTORNEY B RE RECORDING YOUR NOTICE 9,F paENCEMENT:" A
`
Signature of Owner/Lessee ontr - o a Agent for _,_.__. Signature of Contractor/License H
41 14
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF i' ` COUNTY OF t
The forgoing instrume�nt,�w�a acknowledged before me The for oing rostrum wa acknowledged before me
this day of_ ;._IM 20 Ze, by this day of__w ,20a�, by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known �_OR Produced Identification
Type of Identification Type of Identification
Produced Produced ;
(Signat ori a (Signature of Not -
p+'e%i HRIS 0 �t19 4YYy• C!?R1SW Y
Commisslon-l�G 918182 . •'' * 'Co mission#
Commi fgn `Sea!) Commission No.
023 ,� P?\ es October ,
sanded 7W Troy fain lnwranod 900.895.7018 nor�4- Bonded Thos Troy Fa'n lnaurance 8oD-38$.7019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
RECEIVED
DATE
COMPLETED
ev. :+°`tpv•,�`�
Commission#GG 919102
Expires October 2,2023
?rfg►st°p Bonded Th uTrq Fain Insurance 600.385 70t9
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