HomeMy WebLinkAboutConte Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .�'-oiy - a 1 Permit Number:
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Building Permit Application
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772 462-1553 Fa x:(77z)462-1s7s
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PERMIT APPLICATION FOR:
Commercial Residential v'��
L PROPOSED IMPROVEMENT LOCATION:
Address: 5015�-"l (J,%_�} Vni+ �bl
Property Tax ID #: ? y14 - (nl?
Site Plan Name: ��rsv K fArla
Project Name:
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DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
YAIA(le 2-
�6 r I ('Y) e 4t) c4 CrA
C'
Svc
New Electrical Meter
K0 V\-en A-
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
Generator
Windows/Doors Pond
--------- - Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ � r �
Utilities: _Sewer � Septic Building Height:
FOWNER/LESSEE: CONTRACTOR;
Name. = �..-� � Name: Robert Noeker
Address,: ���� � ' ' � KLA Company..Service Star Air Conditioning and Heating
City: State: Address: 18735 E. Colonial Drive Suite 100
Zip Code: r q5 Fax: City: Orlando State: FL
Phone No.� - � �to'� Zip Code: 32820 Fax: 407-568-2766
E-Mail: Phone No 772-770-3733
Fill in fee simple Title Holder on next page if different E-Ma i I i nfo@servicestarcoolingand heating.com
from the Owner listed above) State or County license CAC055550
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:
Name:
Address:..... ---
City: State.-
Z14 P: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Not Applicable
Name:
-------
Address:
City: State.*
Zip: Phone;
Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commend=d prior to the issuance of a permit.
St. Lucie Countmakes no representation thatis granti
ng 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 structure. Please consult withyour Home Owners Association and review our deed for an rsict on�which ma °apply.
p�hibit such
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Fn consideration of the granting of this requested permit, 1 do hereby agree that I will, in alb respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wars, 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 muss 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 attorne before commend work or F— recordin our Notice Of Commencement,--
Signature of Owner/Less entrt
STATE OF FLORIDA
COUNTY OF
(Itil 'yj
s Agentfor Owner
Sw n to (or affirmed) and subscribed before me of
Physical Present or Online Notarization
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this ��(t�ay of N.-���,�, , 202$ by
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Name of person making statement.
Personally Known YOR Produced Identifica
Tye of Identification
Prgduced
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'Signature of Noti.ry Pu lic- State of Florida )
Commission No. (Seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
eve
FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
Signature of(E�ntract
STATE OF FLORIDA
COUNTY OF
icense Holder
Srr
�ii to (or affirmed) and subscribed before me of
hy�'cal Presene or Online Notarization
this r �� cy of)�Vtc 2020 by
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CD
a e f er n a i tatemerat. � 4 Lr) 1LU
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Personally Knows lOR Produced �,D Un
r
Type of Identification
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r di uced
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(Signature of I tar. Pu lit- State o'f Florida
Commission No. �, (Z)
( Sea 1 .1% 10 ., -
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PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW