HomeMy WebLinkAboutOwens Permit PacketAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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
PERMIT APPLICATION FOR: w6(- a\ o0
PROPOSED IMPROVEMENT LOCATION:
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Residential Z
W- I I L&A-
Property Tax ID #: _�y 6 63E 03y
Lot No.
Site Plan Name: _ Block No.
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Project Name: CA-0jc c)WC n
DETAILED DESCRIPTION OF WORK:
CIAO c1 ry) /��(9 U di- L,20 (1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
✓Mechanical — Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: ) y 5G
Cost of Construction: $`-
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 1 e-('00 L wc^ s
Name: Robert Noeker
Address: �L6i
Company: Service Star Air Conditioning and Heating
City: State: i=k .
Zip Code: 3LiRl�, Fax:
Phone No.
Address:18735 E. Colonial Drive Suite 100
City: Orlando State: FL
Zip Code: 32820 Fax: 407-568-2766
Phone N0772-770-3733
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of constructinn is 71;nn.,,-... -
E-Mail info@servicestarcoolingandheating.com
State or County LicenseCAC055550
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER
Name:
Address:
City:
Zip: Phone
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
State:
Haaress:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY:
Name: Name: Not Applicable
Address: Address:
City:
City:
Zip: Phone: Zip: Phone:
OWNER/ CnNTRArTnD Arranvrr. _._1 __ • _
- • ^NN �l� eicuy rrnaue co ootam 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 attorney before commencing work or recording your Notice of Commencement.
I
Signature of Owner/ Less e/Contracto s Agent for Owner
STATE OF FLORIDA
COUNTY OF
SwXn to (or affirmed) and subscribed before me of
V Physical Pre ence or Online Notarization
This � day of fi j 2020 by
Name of person making statement.
Personally Known 'v/ OR Produced Identification
Type of Identification
Prod ced
ature of Notary Pub ic- 3tte of Florida )
Commission No. -d
AMAN �. LE
Notary Public - State of Florida
Signature of Contractor/License Holder
STATE OF FLORIDA;1�
COUNTY OF UU
Swoyfi to (or affirmed) and subscribed before me of
r Physical Presence or Online Notarization
This aL day of }� 2020 by
A D 1(
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
re of Notary Publik- Sate of Florida )
AMANDAL17TLE (Seal)
Notary Public - State of Florida
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Rev. 5