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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S�. 0 o 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 PERMIT APPLICATION FOR: ftbcvvt PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: __ DETAILED DESCRIPTION OF WORK: .�.����.uR.�.�.�.tr��n��i�u.��������R�1<l� R�.!�i'l��'�llA`tigll►�lLl11 New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additii dal work to be performed under this permit— check all that apply: V Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: t�11 Sq. Ft. of First Floor: Cost of Construction: $ 12 I U00 . bo Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Y Address: ) ��.1 Name: Robert Noeker Company -Service Star Air Conditioning and Heating City: State: _ Zip Code:. Fax: Phone No. Address:18735 E. Colonial Drive Suite 100 City: Orlando State: FL Zip Code: 32820 Fax: 407-568-2766 E-Mail: Phone N0772-770-3733 Fill in fee simple Title Holder on next page (if different E-Mail info@servicestarcoolingandheating.com State or County License CAC055550 from the Owner listed above) n vawe ul wnstruction Is zwtj or more, a 11MUKUtU 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: GNER/ENGINEER: _ Not Applicable Name:_ Address: City: _ Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: _ Not Applicable MORTGAGE COMPANY: — Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: Vvv IVrnt %�UIV i KAC, I UK AVVIUV11: 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 your Notice of Commencement. Signature of Owner/ LesseECCon rac �s Agent for Owner I Signature o Contractor/License STATE OF FLORIDA COUNTY OF Sw7fn to (or affirmed) and subscribed before me of V Physical Pre ce or . Online Notarization th—is Wilay of Ml _ / 2024 by Apbt+ Mbaw Name of person making statement. Personally Known OR Produced Identification Type of Identification Signature of Notary(Pu�lic- State of Florida ) Commission No. P�- AMANDALIT_rLE Notary Public - State of Florida STATE OF FLORIDA COUNTY OF Mum" Sw n to (or affirmed) and subscribed before me of Physical Pr en a or Online Notarization this li) Idayof 2024 by Name of person making,statement. Personally Known �,// OR Produced Identification Type of Identification re of Notary Public-�t�te of Florida ) Commission 140"P"k-- AMANDALI7TL(Seal) Notary Public - State of Florida Commk6nn 41 r:r. 0155oS REVIEWS "'F oF_ ©IQGIF ' Bonde y omm. Expires Ja 4NMGonal 19, 2024 ot�tDKRLISOR PLANS F... o d th V o Aires an ryA ,�. s . NGROVE C _0f44@"W1M1 REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED o„