HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN�O MUST BE COMPLETED F
Date: SCANNED)
• _ �� Luru�
Buildi
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
MPLICATION TO BE ACCEPTED
Permit Number:
RECEIVED
Permit Application MAR 2 3 2018
ST. Lucie County, p@rmitring
Commercial Residential x
PERMIT APPLICATION FOR: To Select fr
m dropbox, click arrow at the end of line V�%\o
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PROPOSED IMPROVEMENT LOCATION:
Address: 453 Dusk
Legal Description: -
Property Tax ID #: 2308-601-0049-000/1 l
Site Plan Name: -
Project Name: Amanda Kessler and Harold Kessler /end Suzanne Kassler
Setbacks Front Back: Rig t Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Split Air cond in Mobile home 14 seer with 7 kw heat
Lot No. 49
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nerformed un er t is permit — check a apply:
ZHVAC Gas Tank ❑Gas Piing _ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of: First Floor:
Cost of Construction: $ 3450.00 Utilities:ln Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name_ 5;�,7 0, x a e.
Address: 13' V 3 „4
Name: David Nutting
Company: Central air systems Inc
City: �'l�, �,�� State:
Zip Code: 3 9 S ys Fax:
Phone No.
E-Mail:
Address: 6295 Lake Worth Rd #20
City: Lake Worth State: FI.
Zip Code: 33463 Fax: 561 439 6025
Phone No. 561 603 1909
E-Mail: centralairsys@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CAC 054741
.. — YIdLill a 14. VUU Ul nwre, a Rcwnuru rvoiice oT commencement is required.
.,c.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: I
MORTGAGE COMPANY: _ Not Applicable
Name: David Nutting
Address: 453 Dusk Way I
City: State: I
Zip: Phone I
I
Address:
City: Lake Worth State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicaf le
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 6295 Lake Worth Rd #20 I
Address:
City: I
City:
Zip: Phone: I
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 representation that is granting alpermit 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 BuildingJCodes and St. Lucie County Amendments.
The following building permit applications are exempt from
accessory structures, swimming pools, fences, walls, signs,
WARNING TO OWNER: Your failure to Record a No
improvements to your property. A Notice of Comi
before the first inspection. If you intend to obtain
commencing work or recording our Notice of Co
rgoing a full concurrency review: room additions,
rooms and accessory uses to another non-residential use
e of Commencement may result in your paying twice for
ancement must be recorded and posted on the jobsite
nancing, consult with lender or an attorney before
mencement.
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Signature of Owner/ Lessee/Contractor gent for Owner
Signature of Contractor/License Holder
STATE OF FLORWA
COUNTY OF and 0 G-�
STATE OF FLORIDA k_
OF ���X� L
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COUNTY
The forgoing instrument was acknowledged before me
this o2oZday of 4.1^C.tN . 20a by
The forgoing instrument was acknowledged before me
this day of H2f 6x 20&_ by
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Name of person making sta ment
Personally Known OR Produced 01� iir1UNWI& I
Name of person making state1nent \���� J(••.:•'�;;F
Personally Known OR Produced Ide\ Ifi t� N�Xa'•
Type of Identification �NWq/T�
Produced 'Pt,4t— N3So2 (�Q '•• �ii
Type of Identification J�� �e
Produced FOAL— N3�oZl�CC-
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(Signature of Notary Public- StatCW*lorida) #'Fp 132202 : lQ
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(Signature of Notary Public- State of Florida'�-� ��'• •'•
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Commission No. / 02 i �j� (seal) •�
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Commission No. tiG� 13�� 2 (Sea l)7�////�111111111%
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REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17