HomeMy WebLinkAbout7225 MAIDSTONE DR NORRIS RESIDENCEAll APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1101L 1J ) Permit Number:
aw
°`C01 ° Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial' Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR:
LPROPOSED IMPROVEMENT, LOCATION'
Address:
Property Tax ID #: W ^ SPI ' O (3017 - (o Lot No.
Site Plan Name: N'z"r�6 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LYE a e� t'��9 �Gi ll�,�:•—,�" e .F_ SZ% G,-{/��a� ��c� r .� 4"�C��:,�
New Electrical Meter Second ElectrPC�alTvleter (Affidavit required)
CONSTRUCTIONINFORMATIO;
e
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_Electric Plumbing _Spr-.nklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE
CTR; .
Name:4rv'161 vNc(�=-, N-v" C(�Au4�)v1
Name 54en )rar lJJCVI
Address: Ma"d re -Dr,
Company _42,LA{a440rstoAle.1A (-S
City: Wo C- Sate: _
Zip Code: 340& Fax:
Phone No. _-4aa-Go-.:? 9
Address:
City: ` State: CE
Zip Code:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Ma11 li1�n1 �Rc.%✓ti , Co r _
State or County License CFY -)� I V�
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Not'"_e of Commencement
is required.
is required.
r f
SOPPt.C•�it NO'AL-C :N:S_TRH"CTIQNj, I N I g J;lN"WRNiATfON:
DESIGNER ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
i :
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
..i
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to ob5ain a permit to do the work and installation as indicated.
I certify that no work or Installation has commenc#d 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 Own rs 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 rmit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Floridyuilding Codes and St. Lucie County Amendments.
r.ii
The following building permit applications are exe )Pt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wal '; 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 COM encing work or recording your Notice of Commencement.
.P
Signature of Owner,
as Aeent!t<br.iiwrner
STATE OF FLORIDA �--
COUNTY OF 5�-W�e F,
t•
Sworn t0or affirmed and subscribed before me;of / Physical Presence or Online Notarization
this day of 0 20a% by ,p
Name of person making statement.
Personally Known OR Produced Identlfi' tion
Ty Identification Produced
rile
(Signature of Notary Public. State of Florida )
Commission NoMA % mo (o `I (Seal)
REVIEWS I FRONT I ZONING
COUNTER REVIEW
r.:
%ZimpW,-JESSICA GROVER
p P Notary Public•State of Florida
=y� Commission # HH 119064
'� %.f�„F,,a•�' My Commission Expires
-- April 19, 2026
;OR
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
I
O 69MP"SSOR
U SUCTION PSI
UHeso PSI
U VOLTS AMPS
QELECTRICALOONNECTIONS
O CONTACTS TIGHT a CLEAN
UOLLEVELa CONDITION
U CONDENSOR COIL
DCLeua DDLa CHECKFW COND.
QENT_ F Lvo-T
❑ REFRIGERANT
am 0141W
❑ FAN AND MOTOR
OVOLTSAMPB_
O ELECTRICAL CONNECTIONS
❑CONTACTSTMHTa CLEAN
G FAN PULLEYS (ADJUST BELT)
❑ cHECX Lue eEANINGS a MOTort
❑ EVAPORATOR COIL
UCLEAN a OIL a CHECX FlN
UENTOB—•FI LVGDB —•F
O ENTYIB—•F LVG WB—•F
❑ C.ONDENSATEAREAS
ar�EaaaEANIwrIRw
7!@ELT6QENIDPAN
❑AIRFILTERS
aaswED anf a
FLTENsE
UHEATNGASSY.
D etLa�+a rrrAT Fxo WrGEn
�FLBRIPfLYSR
ORLOTASSB.IIY
URANEADAIS(ABTT
urvawrrrmAYaRUE
DRwau#rsvAraDPBL
OaVAt3?ASgBABLV
U RJIt•LVE
OSITaPfFAT
U C6M14TLYOE
O ELECTRICAL COMPTS.
DRSAYS ucwyytlas
UaHLOPO OR✓ESSSMT01
❑THERMOSTAT
sox oNFnrcE
aBannaE
❑DUCTSYSTEN
RET_ SIPRY
TLTFAVt UifPAI•Ka
TEbYNB VENr_
_ -_--B.ROWARD ,FACTORY SERVICE INVOICE_ ���
COVERAGES _ _ u�-• L.-`i rw„= __.,.
PREVIOUS un=u-.:: it•A:�4: Er. -`..J =_�. _ _ _ _ _
CALLS .. _ __.. ... ..
SERVICE
REQUEST
Manufacturer y/� vvvl
MODEL#
SERIAL# U 6 L O 1Y
BM OR#_--_
Woo w <fcrlcrrj
�03� Sly f\S
P(-PP�'j
1P[—nc'r�-
PART NEEDED
PARTNEEDED
P.O.#
P.O.#
1(�o
DESCRIPTION OF WORK
SERVICE'-'
CALL#
SCHEDULED //J
DATEtI_ �_
'0(jll�
O COM(eLE
oyUNOTHOME
ORDER
PMTSO
O RESCHEDULE
7-
TECH TIME TIME
IN OUT
TECH 1 TIME E ' THE
p2 i IN D OUT I
PAYMENT — —
I have received antl agree to a terms and eondRlons of my contract, and 1 understand
that this service is a elalm alnst my eontreeL
PARTS WARRANTY
M parts as mcarded am wortharted as par manuhWrer specifications.
LABOR GUARANTY
PARTS
w.eD��
The labor charge as recorded hem
Q La..J
mlages to the equipment serviced as noted, is guaranteed for a plod of 00 days.
We do not. of course. guaranty other parts than Nose m Install. a minim later became
necessary due to other defecthm parts, they We be ehsrg•d UPMatety.
LABOR
SERVICE
CHARGE
No guaranty on my drain stoppages.
BFS WILL NOT BE RESPONSIBLE FOR PROPERTY DAMAGE WHEN
OTHER
DISCOUNTS
REMOVING
TO PERFORM NECESSARY SERVICE WORK AND I ACCEPT
TAX
PERFORMED SERVICE ANDTOR CHARGES AS BEING SATISFACTORY
All sales are final with no adjustments w refund.
' CUSTOMER SIGNATURE
._ _� -- —_.� ar:..•r.Grov;rr2a� IoN.ccm '—____
IFsz - �" . 0•T8i?R. ! AL,L7,�,.' �It'0::7409, ;Fc('SS807. E::,:i:•�ts3S. 0U•10504, 00.16467, 280095, 279402, 269367, U081113. 0087114, EC13007734