HomeMy WebLinkAboutBuilding permit appAll APPLICABLE
Date: 'L
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
6) Permit Number:
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
PERMIT TYPE: HVAC Equipment ChangeOut
Address: ���i� ✓/ff, /4"//l /� /vim
Property Tax ID #: S�/ "P �G TeJi-ICL
Site Plan Name:
r�v�c�� waii�c.
Like for like AC replacement
ems'
A�'x7-1
Lot No. /6)
Block No. T
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction'.
c/ /Z 7�_ Sq. Ft. of First Floor:
Cost of Construction: $ /, /�1�� Utilities: _Sewer _Septic Building Height:
Name
Address: o /
City:—�/: State:
Zip Code: G' % Fax: /
Phone No. 7
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Steve Smith
Company: Steve Smith Air Conditioning
Address: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 LicenseCAC1813454
if value of construction is $2500 or more, a KhLUKUtU Noiice 01 l ur"Mtu ccn ICI L la I cyuu
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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Ig�
_ /�• s7 r
� t IN
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:
_ a_ "....-1, 4 inctniIntinn ac indicated.
OWNER/ CONTRACTOR AFFIDVI 1: Application is nereoy made id ouidni a PE LV u� �••� ��� - - - - - - -
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
structure. conflict
lease consult withpyour applicable
ome Owners Association landrrev ebylaws
y ur deed for any restrictions which restrict
or
pply obit 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 J iE JOB1SM BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
_1r �. sur yn• io mnTIrF cm rnMMENCEMENT."
WITH Y LLNUM,10111 All AI I VKIVEI 13&1rv.cV R.-a v■w
-- — --
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
Lur £'
COUNTY OF S-r (LU e-N F
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
/sfuday of A(_t 20_4�cj by
this L�yday of Mo a_� 20_. by
this =
/�//
Sieue✓1 S". I'
`�<&VQP SM tT1
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification k
Type of Identification
D124 dEA. L I C EJ S C-
Type of Identification
Produced fL u �—
Produced
ignat a of ota Public- S to of Florid Christopher,!.
� nature Notary Public- State o Flo { Stephanie Mour
¢, NOTARY PUBLI
G NOTARY Pt
Commission No. 2221 ��j STATE OF
LIC
@13MAission No. FiF 9Y A l a STATE OF FLO
Comrrr# GG
2758 a Comm# FF9573
S . 1�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
.;200c,?