HomeMy WebLinkAboutBuilding Permit Application Jun 25 20 08:23a Louie's Air Conditioning 7724295267 p.1
All APPLICAB E INF 'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �+� Permit Number: .2 �' V
RIX
JUN �
c c -- Building Permit Application 9 2020
Planning and Development Services ST. Lucie Co nty, Permitting
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,fort Pierce FL 34982
Phone:(772)452-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
:PREOP SED Il11tPR017E4�E'N :LOCiATIPN :: . .: .:. ....:. _: .. . . ..:: °:, : '... . : _.. .:•.:::.::.:
Address
Property Tax ID#: .ova- Lot No.
Site Plan Name: Block No.
Project Name:
.13 ILED.-DESCRIPTION 0F;IA!{7RK_
AY i
LA n S
VERPWA L ryes La
New Electrical Meter Second Electrical Meter f y�
cs
CQNSTRtXT1.:ON'ENFaRMATION,:. .:.'. . ::;,.: '
Additional work to be performed under this permit-check all that apply:
Mechanical _Gas Tank —Gas Piping _Shutters Windows/Doors _Pond
_Electric _ Plumbing Sprinklers _Generator —Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ i; • Utilities: —Sewer _Septic ! Building Height:
OUV NER/LESSEE OIVTRACTOR.
Name Name: `rw�,y
Address: �11�:—� U,aeoI �5^ Company:
City: (,�)Qz a=o� State:la Address: � j-9 j
Zip Code:Sq S-,?- isS
- Fax: City: - State: I�
Phone No. -'-4a Zip Code: 31 �Aq5lal Fax: -5
E-Mail: Phone No Q k-P(1 -Q�9
Fill in fee simple Title Holder on next page(if different E-Mail. Ld i,14-zC . C-t-y
from the Owner listed above) State or County License t`:4 � 3
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
Jun 25 20 08:23a Louie's Air Conditioning 7724295267 p.2
=SUPRtM:E:NTAL:CaNSTRUCTt(3N.LIEN'1-�41V:13r1F0#tMA'1"IN_:
DESIGNERIENGINEER: _ 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 Horne Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wrath your Horne 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 paying twice for
improvements to your property.A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection.If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
ignature of Owner)Les orftractor as Agent for Owner • nature of Contractor/License Holder
STATE OF FLORIDA C\ j ��� COUNTY STATE OF F ORI
COUNTY OF l � -
Swo�to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization .RPhysical Pre ence or Online Notarization
this ` day of
12020 by this day of -X�� ,2020 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
d Produced
otary Pu - •qf FloridOlYK PEARSON (Signature o otary P I - Floridal11141'rILPEARSON
t. :,; MY WNIMISSION li�939876 _ ':;i ►{Y COSBIQSSION 4 GG 939878
Commission No. = EXP3B6$Da�mb�15,2�� mmission E>l�SSShcQecembert6,2023
''ti•.P„.•'`' BU401MNatuyPubkUrawNdtm •,ems B"AwThu NOW Pubfkthiderwpetit
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6120