HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 02/08/2022 TUB 11: 56 FAX 772 3367566 AC Advantage, inc. U001/003
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: U ( J 6
RECEIVED
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'f°''J' k" v FEB 0 8 2022
° � Building Permit Application St.LuciecoMty
Planning and Development Services Permitti
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce F134982
Phone:(772)462-1553 Fax: (772)462-1579 CBDG Funding
PERMIT APPLICATION FOR, HVAC
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Address: �� '� ✓✓rLL.� (�LJ� 1✓
Property Tax ID#: `002;71 - o - Lot No.
Site Plan Name: Block No.
Project Name:
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New Electrical Meter Second Electrical Meter (Affidavit required)
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Additional work to be performed under this permit-check all that apply:
Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers ,Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ �(c;�!ECo Utilities: —Sewer _Septic Building Height:
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Name Name•
Address: �� Company: ,�/Gi!fl._'�1-�1� L,11•��
City:_ �A � _ State -Addr-esfsA� - - - �--- - —
Zip Code: 1 Fax: City:
Phone No. IE- Zip Code: Fax-
Mall: Phone
FIII In fee simple Title Holder on next page(if different E-mail olsY(2 0_cp� cALc (iYM
from the Owner listed above) State or County License
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,
02/08/2022 TUB 11: 56 FAX 772 3367566 AC Advantage, inC. U002/003
'SU;PP E:NIE TAL; ONSTRU--'CT1( N;LIEI�::'LAW,INF
N. P.::, I�TION:
DESIGNER ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone; -
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
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.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no reppresentation that is grantin a permit will authorize�the permit holder to build the subject structure
which conflicts with any applicable HomeownersgAssaciag#ion rules,bylaws or and covenants that may.restrict or prohibit such
structure. Please consult with your Homeowners 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
WARN ING.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 C unty and posted on the jobsite before the first inspection. If you intend to obtain financing,consult
with I der or an attorney before commencingwork or rec6rding your Notice of Commencement;
Sl ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFF- CAX.� "__---
Sworn to(or affin eed)and subscribed before me of Physical Presence or Online Notarization
this S day of 2a2-by
Name of person making statement.
Personally Kno OR Produced Identification
Type of Identiflwncation Pr u d
( ' natu a of Notary P Ilc-State of Florida)
Jamie Perna
Commission No L6�,ZGII?�23(Seal) NOTARY PUBLIC
— STATE OF FLORIDA
. Conv*GG267323
Expired 1.Ot291.2022 - — —
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW . REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5120141