HomeMy WebLinkAboutBuilding Permit Application Nov 20 2020 2:07pm LOUIE'S AIR CONDITIONING 772-429-5267 PA
All APPLICABLE NFO MLSTE C' OMPLETED FOR APPLICATION TO BE ACCEPTED
Date: b O Permit Numb r:
KtUtIVIED._
° NOV 19 2020
9 v ° p Building Permit Applicati 1�
Planning and Development Services Permitting Department
Building and Code Regulation Division Commercial R sid9tiJIUCle 0unty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772) 462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: v
Property Tax ID#: -7 Z. �Z3 �O S97 - d b0 - 3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION bF WORK:
it
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Addi
tional work to be performed under this permit—check all that apply:
_Gas Tank _Gas Piping _Shutters _Windows/Doors Pond
_Electric r Plumbing _Sprinklers i Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$_34o0 . — Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name " 4 Name:
Address: S %tild Company: er Inc-
City. State: Addre ,
Zip Code: sa Fax: City: �-s�
Phone No, 3�-�--� 0 "�3 ���3 _ Zip Code: A 44% c Fax:_y�
E-Mail: -0A Phone No
Fill in fee simple Title Holdel on next page(if different E-Mail Lk� e..(,_QLC— ,
from the Owner listed above) State or County License C.
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.
I
Nov 20 2020 2:07pm LOUIE'S AIR CONDITIONING 772-429-5267 p.2
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 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 . rider or an attorne before commencing work or rec rdin our Notice of Commencement.
ignature wner/Lessee/Contractor as Agent for Owner ignature of Contractor/License Holder
STATE OF FLORIDA �, STATE OF FLORID `
COUNTY OF, SL L o COUNTY OF 07
Sworn to(or affirmed)and subscribed before me of Sw rn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Ph sical Presence or Online Notarization
this
�day of C�',�r-D�[-1 2020 by his day of���_,2020 by
Name of person making statement, Name of person making statement.
Personally Known 41-0
OR Produced identification Personally Knowr� OR Produced identification
Type of Identification Type of Identification
Produce Produced
(Signat tary Publi FloridaAWK,pEARgON (Signature of No ar bli a on a x pE�RSON
W CaNN4lIS "#GG 9M76 " k!Y OMM t >;G
Commission No. F.1t911 ;December15,2023 ommission N :� 3S O939876
„ii�d:`-Bonded'11ru:December15.20s3 °: ��Demmber15,2023
or riR•' BoriWThru Notary PtiW Underwrittors
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5,6/20
L_