HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q �
Date: 09/28/2020 Permit Number:
LO AOO ma RECEIVED
Building Permit Application JAN 13 2021
Planning-and-Development Services
Building and Code Regulation Division Permitting Department !
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County I
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X '
PERMIT APPLICATION FOR: Mechanical
va.-tom - J _ � �G' 7t
Address: 6016 SPRUCE DR
Legal Description:
j Property Tax ID#: 3402-610-0437-000-8 Lot No.
Site Plan Name: Block No.
Project Name: kurt ellmers
Setbacks Front Back: Right Side: Left Side: l
LIKE FOR LIKE _ CHANGEOUT DUCT WORK ONLY
SEE ATTACHED PAPER WORK
�L )
Additional work o e Der orme un er s permit—c ec a~ apply:
nVHVAC FI Gas Tank 116as Pip)ng Shutters n Windows�Doors
t__1
11 Electric Q Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: S , Ft.of First Floor:
Cost of Construction:$ 6000.00 Utilities:iSewer OSeptic Building Height:
Tigg
Nam® krlrt elj Arc aarba r�►�11,E !'S Name: C S LANGEL
Address: 6016 SPRUCE DR Company: S COASTA/C
city: fort pierce State: FL Address: 3108 f USTRIAL 31sKTREET
Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No. 772-260-7692 Zip Code: 34 Fax. 772-448-4416
E-Mail: Pho 0. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: INFO@S!~ACOASTAIR.0
from the Owner listed above) State or County License: CMC0354
I
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
4
mvIJ�P��~ ':IE m�` ^• O:: �..n�'�� � r. fi -l�lY� iS!.; �,
DESIGNER/ENGINEER: _Not Applicable lJY MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address: RECEIVED
City: State: City: LI State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: aersr nla pplicable
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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/L ssee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5-� V ac P, COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this %'5 day of S0.4 202T by this day of 2020 by
ibA rbe,C'k �11�^^��S
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Jr-c.0\.-- Produced
(Signature of Notary Public-Sta (Signature of Notary Public-State of Florida)
��OtPPr Pip
sion No. (Seal)
Commission No. __ �_IgA( ELLEN V
�� •� Coe of Florida N UG
V
mmission # otar Publi
m
OCtO iaaiOr' Ex it 7g
REVIEWS FRONT ZONIN C,R2 ` 5 VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVI W REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.