HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��'a��� Permit Number:�lJl1l0�
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RECEIVED
a _ .. MAR 0 5 7418
- Building Permit Application Perm,tnno0ar,?,M, ,,
Planning and Development Services St. Lucie c,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Property Tax ID #i: 1334-502-0015-000-8 Lot No. 98
Site Plan Name: Murrav Block No.
Project Name:
Setbacks Front Back: Right Side:
Solar Pool Heating System
onaiworKto De errormeo unuerimspefmn—cI
HVAC Gas Tank ❑Gas Piping
Electric Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4800 an
Left Side:
Shutters ❑Windows/Doors
Generator E]Roof
S Ft. of First Floor: _
Utilities:cn Sewer F]Septic
Building Height:
Roof pitch
OVUNEt3 LESSEE, r' d 'iz
CC7t�TRAG�OR �
Name Murray
Name: Frik F nel aria
Address: 2701 Bent Pine Drive
Company: Climatic Solar Corp
City: Ft Pierce _State: FL
Zip Code: 34951 Fax:
Phone No. 914-456-1322
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 32989 Fax: 772-567-4553
Phone No. 772-567-3104
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: officeaclimaticsolar com
State or County License: f:VQ56671
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ='
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspel'tion. If you intend to obtain financing, consult with lendpor an attorney before
STATE OF FLORIDA ISTATE OF FLORIDA
COUNTY OF6'12i ✓P/ COUNTY OF =nrli�n �, ✓P✓
The forgoing instrument was acknowledged before me
thisLdayof� nu 20 y�by
(Name of person acknowledging )
TSignature of Notary Ptilblic- State of Florida )
Personally Know OR Produced Identification
Type of Identification Produced
Commission No. (,Co W,J' AMA(6N* S WARREN
My COMMISSION p GG149063
Revised 07/1
The forgoing instrument was acknowledged before me
this day of V . 20 LT- by
&- l if r� L2Lal)- V
(Name of person acknowledge g )
mature of Notary PuW!c-State of Florida ) —
Personally Known � OR Produced Identification
Type of Identification Produced '
Commission No.
AMANDA S WARREN
EXPIRES October OB, 2021
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