HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE IVFO)VIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division ,
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: HVAC Equipment ChangeOut
Address: Z 7
Property Tax ID #:
Site Plan Name: _
5 0/1°I0011/ o
/�4/-5—OG-- 402Z- —
Lot No. 2 7
Block No.
Like for like AC replacement
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Additio al work to be performed under this permit- check all that apply:
%Gas Piping Shutters
Mechanical — Gas Tank — P g —
Plumbin —Sprinklers Generator
_ Electric _ g —
/�/� _
Total Sq. Ft of Construction: Sq. Ft. of First Floor:/d
Cost of Construction: $ 7 / Utilities: —Sewer _Septic
Name .�� ��i i4� .ra71
4•-r
Address:
City: �f, /�t'i�� State:2
Zip Code: 3Faaxs:
Phone No. 7-/r Zr
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Windows/Doors
Roof Pitch
Building Height:
Name: Steve Smith
Company: Steve Smith Air Conditioning
A,4,4,.o«.8001 Eden Road
City: Fort Pierce State: FL
Z' Cade' 34951 Fax: 772-461-2036
ip
Phone No772-461-1425
E-Mail stevesmithac@aol.com
State or County LicenseCACIS13454
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON PE JOB _J M BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y F,I�I�LENDR IjN ATTORNEY BEFORE RECORDING YOUR NOTI" COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Ho
STATE OF FLORIDA STATE OF FLORID�►� LV�
COUNTY OF S—e L-u LN z COUNTY OF -
The forgoing instrument was acknowledged before me The for�ing instrument was acknowledged before me
this _LA?yday of Ma___ _— 20 by this day of (_ 20 ' by
4 �'&yCtJ SNA %'r4
S fPr✓�� S,� r
Name of person making statement. Name of person making statement.
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Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identifica�n u
Produced Dll?-1 VtAf L I C- &--1 S E Produced
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Commission No. 2221 �p STATE OF
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FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
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