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HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATIONDate• FeeDue:4I Receipt!# J Permit# Planning & Development Services k Building & Code Regulations Division SCANNED 2300 Virginia Ave. BY Fort Pierce, FL 34982 (772)462-1553 St. Lucie County SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ 13VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork requiredfor specialty permits 1. Location/Site Address: _ PP 2. Parcel ID Number: 1`",)— Tow Wp Range Map Page Zoning Land Use Initials Office Use Section Only Complete Description of Project or Work: 4. Owners In or 's�j ramS. — Contractors Information Name: LI eJ Address: Y-)(CL L City,; 1 State: �'--I—� Zip: Phoonnne�5 X> V 6. Value of Construction: S Y ACKNOWLEDGED BEFORE with all applicable laws County Cert#: CJi /95 (� Business Name: c tr �' 1J�1jj��3t Phone _ FaxAd 4 "�.��n3 construction ;dtl r OF � ,20 �Y WH IS PERSONALLY KNOWN TO ME V OR WHO HAS PRODUCED TRACY LANOFI. AS NTIFICATION. NOTARY PUBLIC �rj'r'h, : uT TF. OF FLORIDA -)�tZrn# EE021924 SIGNATURE 0 TAR "��/ /d TYPE OR PRINT OF NO Y y"jA-eIAIlV6 Expires 8/30/2014 COMMISSIONNUMBER �`^� NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IMPEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00 Revised 041262010 02/07/2012 20:19 7724614' 3 SEACOAST AC —w PAGE 02 Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34952 (772)162-1553 SPECIALTX PERmff APPLICATION ❑ Electrical ❑ Plumbing 0 Sbed ❑ Demolition See page 2 for insVucdons and 1. Location/Site Address: 2. Parcel ID Number: 14 — ,. 3. 4. Na Ad Ci Zi 6. © HVAC CI Fence 17 Gas !3 Siding Owne o � ', 5' CO° me: dress: ��� ty; L State:_ P. Phone:�Jl 5� Value of Canstruation! S with all applicable laws ACKNOWLEDGED required jorspecialry permits tractors Information FL ReglCert #: County Cert#: Business Name: C__ PhonO�Fax: /� C �J construction 75— —Wit [S PERSONALLY KNOWN TO ME V OR WHO HAS PRODUCED -- T.Acy LANOE1. AS TIFICATION. I t, w '0.'. : TF, F FLORIDALIC Q 1 f 1\ �� . T(�TF. QP FtaR1 ter.: -1, c; G' 1�h+a:f."-F'E027924 TYPE OR PRINT OF NOY Y '.�,t'��i SIGNAT VO 17 T _ y VVN TV? i�� F�jrec Gj30=14 COMMISSION NUMBER 1LlR-.•rl "C NOTICE TO OWNER: FAILURE To RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LptIDIMPROVEMENTS R ORS ATTORNEY BEFOP,Ti RECDRDTi`I POUR NOTICE OF COMMENCEMEO YOUR PROPERTY' 17 YOU INTEND TO OBTAIN ONT CONSULT WTI'R YOUR EXEMPT: AIC-HEAT REPLACEMENT WITH CONTRACT UNDER 57500.00 ReVINd 04,26R010