HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST JE CO
PLETED FOR APPLICATION TO BE ACCEPTED C�
Date: I) SCANNED Permit Number: II-+tf
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V�
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address O �1 p Le -
Legal Description: I fie -2h [ t a S`i"G6 I ,C �C
PropertyTaxlD#:-341,0-ioel - D7>fO- ODO -to Lot No. f
Site Plan Name: Block No.�
ProjectName:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION. OF WORK:
Li'e '`' �jTb1J ILQ SQer .�C
ls�l -1 )' Lo h424 V
CONSTRUCTION INFORMATION:,: ill
L&IHVAC L�GasTank L_jGasPiping LJShutters
❑Electric El Plumbing ❑Sprinklers []Generator
Total Sq. Ft of Construction: auto �� S Ft. of First Floor: _
Cost of Construction: $ i 91i CJO.oC7 Utilities: Sewer ❑Septic
❑ Windows/Doors
❑ Roof
Building Height:
OWNER/LESSEE: '
CONTRACTOR:
Name
b
ce: CRAIG CANTRELL
Address:--206? 2Ll u
Company: AMTEK AIR CONDITIONING
Address: 571 MERCANTILE PL # B-12
City: 'E`i P&4-C2 State: FL
Zip Code: ' i3407 $31 Fax.
City: PORT ST. LUCIE State: FL
Phone No.r`�l-waz) 41 e R - aul
Zip Code: 34986 Fax:
E-Mail:
Phone No. 772-801-3465
Fill in fee simple Title Holder on next page ( if different
E-Mail: amtekac@gmail.com
from the Owner listed above)
State or County License: cacl816639
11 value ur or more, a KtLuKuto Notice at commencement Is required.
SU PLEMERI AAC.ONSTR JCTIt1N LI N NFOR 'ri N.
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:
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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording o r Notice of Commencement.
Signature e Owner/ Agent/ Lessee
Signature of Co or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ,f�-i : LUG' a
COUNTY OF St _u ce-e—
The for oing Instru ent was acknowledged before me
The forgoing instrument was acknowledged before me
this J6day of WI/'Y , 201t by
this J_!E�jday of N) Crtt 567n,61l . 20L4 by
(Name of perSd acknowl )
(Name of persoocknowl
(Signature of Notary Public -State of Florida)
(Signature of Notary Public -State of Florida )
Personally Known vl'*� OR Produced Identification
Personally Known _11 R to uce Idqntification
Type of Identification Produced
T f entification Produ
,p moo,
a.• ��af•,, SHAWN A RUS
Commission No. O Notary Public - State
o` ref•,, - SHAWNA RUSSELL
E}}�1 ��: ;" y�public - State of Florid
ion. No. • '= mPuM.
• •` My Comm. Expires M
i
oh'�epi�at ; ^• y Expires Mat 11, 20
r 11, 2016 '•,,eov no„ Commission # EE 179096
pp
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MANGROVE
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DATE
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Rev. //LU14