HomeMy WebLinkAboutBuilding Permit Application Oct 14 20 04:21 p Louie's Air Conditioning 7724295267 p.1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED __.._ �_��(' 03'ST'
Date:' �� Permit Number `:
s OCT 2020
o `V EL
Building Permit Applicat'or7:i-r : ,
Planning and Development Services Z,
Building and Code Regulation Division Commercial Residential - _ - ----------
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PR4f?,OSED'IMP
fO�FEMEI'�ITL4CA71fl:IVr.:::.
Address:�44o S. d C
Property Tax ID#: o u zb- o Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK::::
_S ~ = 1
New Electrical Meter Second Electrical Meter
COI�ISTR CTION::_iNEOR1V4/�TIO.N'::::;'" ` .:'::
Additional work to be performed under this permit-check all that apply:
lechanical —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��6 Utilities: _Sewer _Septic Building Height:
OSN:IVE;R� E SEE:::: : cC; NfAA.
Name -- II ii-- Name: ;Z 5 n
Address: a-t M_e ,6 Dt- Company: "tXkc-S a(, Se e's t c g rt C.
City: State:' Address:L63l r1 'aS��Q, :Dr-.
Zip Code Fax: City:pb\.. State: Pt
Phone No. 9N 553 1.47N Zip Code:3400 So Fax �AQA -S b'-4
E-Mail: �— Phone No
- 3O�I
Fill in fee simp Tib itle Holderon next page(if different E-Mail Low<_s A G a sk"w•
from the Owner listed above) State or County License CALC>Q:�aa 4
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of I+AVC is S7,50D or more,a RECORDED Notice of Commencement is required.
Oct 14 20 04:21 p Louie's Air Conditioning 7724295267 p.2
SU PLEIIA:E4VfiA .W, .N5TRJX[O 1: 1 N. iN C R.IVA' ION : . .: . . ::
.. . .
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,l do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lude 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:Yourfailure 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.
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Signatur f Owner/Lessee/Contractor as Agent for Owner Sig tune of Contractor/License Holder
STATE OF FLORIDQ,I � ` STATE OF FLORID
COUNTY OF COUNTY OF
S rn to(or affirmed)and subscribed before me of pPhysicalPresence
n to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization or Online Notarization
his 92. day of O L—JIM b i 2020 by M-day of_OC_�bis- .2020 by
Name of person making statement. Name of person making statement.
Personal) Known OR Produced Identification Personal) Known OR Produced Identification
Y Y
Type of Identificatiori Type of ldentificatio
Produced Produced
(Signature of Notary Publi r(Signature of Notary Pub!/ IGPIc�RSON tY IG PEMSON
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Commission N40.9ADe1; Commission No _ D� lONiiG393b
stiff,� �•��TMut�oW�yP:biclloQe:wftrs �.30.�� 8ondedllruKoFaryPuobel7 dawillws
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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