HomeMy WebLinkAboutCCF03222022.pdfAll APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION T0BGACCEPTED
3/22/2022
Date: Permit Number:
Building P�^����� ������k~�����~��8�
Permit ~~
Planning and Development Services
Building and Code Regulation Division Commercial Residential
Z300Virginia Avenue, Fort Pierce 834982
Address: 3700psNoULAcxe
Property Tax |D#: 3*25'vv'u/*o*uv',
Site Plan Name:
Project Name:
LIKE FOR LIKE oaTON 14SEER PACKAGE UNIT WITH 1omvv/HEATER
New Electrical Meter_ Second Electrical Meter
(Affidavit required)
Lot No.
Block No.
Additional work tobeperformed unde/thispennit—checkaUthatapply:
x Mechanical __GasTank __ Gas Piping Shutters Windows/Doors Pond
__Electric __Plumbing __Sprinklers __Generator Roof Pitch
Toto|Sq Ft . � Sq. Ft. ofFirst Floor:
__.
Cost ofConstruction: $ 505025 Utilities: __Sewer __Septic
Address: 23619 PARE ST
City: SAINT cL*nSHORES State: M
Zip Code: 48080 Fax:
Phone No. 313-330-1627
K8ai|'
Fill |mfee simple Title Holder onnext page (if different
from the Owner listed above)
Building Height: _
Name: CURTSSAMMONS
_ Company: CUSTOM AIR SYSTEMS INC
Address:
city: PORT SAINT LUCIE State: FIL
E- Zip Code: 84952 Fox:
Phone NO
E'Mai
State or County License CAC051810
Ifvalue of construction is 25W or rWi �rea RECORDED Notice Of nvalue mfHAVC�$�S0Oo,more aRECORDED Nmt�emfCommencement
--'---''--^^'~'~�~^="'
Name:
Address:
City:
Zip: __ Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
State:
— Not Applicable
I MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: -, Phone:
BONDING COMPANY: —Not Applicable
Name:
Address;
city'____
Zip: __ Phone':_
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 reprosentation that is wanting a permit wilt authorize the permit holder to build the subject structure
which conflicts with an applicable HomeOwnersAssociation rules, bylaws or and covenants that may restrict or prahibit such
structure. Please cort 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 guildinp , Codesand St, Lucie County Amendments,
The following building Permit applications are exempt from undergoing a full concurrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothot 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 an the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before come-)encing work or recording vour Notice of Commencernent.
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5�IgJtlllf CIrltllltcWo, - 6;;_n� Ild(N as applicable
STATE OF FLORIDA
COUNTY
Sworn to (or affirmed) and subscribed before me of
this ___ day Of 20by Physical Pr "�ence or Online Notarization
Personally Known _,_ I-
L . _�. R Produced Identification
Type of Identification Bdoduced
Public--7F'
_
(Signature (if NcItary bIlr_ )f Florida)
Commission No,
Seal)
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SUPERVISOR PLANS VEGETA'riON SEA TURTLE MANGROVE
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3/22/22, 1:10 PM
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