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HomeMy WebLinkAboutBuilding Permit Application Oct 14 20 04:31 p Louie's Air Conditioning 7724296267 p.1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --^^ Date: 1 0 Permit Number: ' V o"- v LL..0 A II C Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 156 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PROP.OSED::1.1`ILPROV.EiWIEfi1T::LOCATf.QN :: ::.. ... .. . : Address: ci9 LA 1 ►r j ©� c� Property Tax ID#:______ Lot No. Site Plan Name: Block No. Project Name: y►strn QEiAILED°:DESCRIPTION:OP 1htO$IC:: ` n New Electrical Meter Second Electrical Meter colvs-r riory �Ni o 'TL.T . Additional work to be performed under this permit-check all that apply: Mechanical _Gas Tank `Gas Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing _Sprinklers `Generator _Roof Pitch Total Sq. Ft of Construction: Sq.R. of First Floor: Cost of Construction:$. 9%•o0 Utilities: _Sewer _Septic Building Height: :01NNER L SSE-E:-. : : CONTRACTOR.: .,;:'. .: Name Name: � - is 1 Address: 99'-�O �. ,r� _IDr. Company: WL�� t �YJ iC. City: State:t:l Address- �' r- Zip Code: � Fax: City: Stater Phone No.,%.3 Q to U S- Zip Code:34q So Fax: L AQ E-Mail: 1 O Phone No-31S-3:5�`a l Fill in fee simple Title Holder on next page(if different E-Mail Lgwu► Rte d from the Owner listed above) State or County License ( 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. Oot 14 20 04:31 p Louie's Air Conditioning 7724295267 p.2 SU=PPLEMENS'AL.-CONSTRQC7IQN L1 111:1A►1N MAT DESIGNER/ENGINEER: _NotApplicable (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 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 attorne before commencing work or recording our Notice of Commencement. Si nature of Owner/Lessee/Contractor as Agent for Owner S' iffure of Contractor/License Holder STATE OF FLORI �j� � STATE OF FLORIDtrl t COUNTY OFA = +y C..S-+� COUNTY OF 0t. t.\SL fie, Sworn to(or affirmed}and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presencepr Online Notarization Physical Pres nce r Online Notarization this day of 2020 by this 14 day of �C -0 2020 by Name of person making atement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificatio Type of Identificatio Prod ced Produced {Si natur of Notary Public-State of Florida (Sign otary PublE- Fllorldaf�'lP''• ; M}lfiLPWSON MY CCMM]SSIWt i!GG 63987arrCommission ; t tSSIONAIG©939876 Commissio EXP cerrtbet S,Z023 p Pub✓10Ueder bill Ganded� 'tiff•...,«,. REVIEWS FRONT ZONING SUPERVISOR NS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.