HomeMy WebLinkAboutBUILDING PERMIT APPLICATION11/24/2014 H014 11: 11 FAX ®001/002
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I S,Y• J I(- SCANNED Permit Number: ��/�• (��P
BY
3t, WGie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical III
Address: 9 REFORMA LANE
Legal Description:
PropertyTax ID #: 3414-501-1701-000-9
Site.P_lan Name:_
Project Name: DICOCCO RESIDENCE
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
A/C CHANGE OUT 3.5 TON STRAIGHT COOL RHEEM PACKAGE UNIT W/ 10KW HEAT
/3 �eer-
Z✓ HVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4795.00
imspermn— cnecKau apply:
❑Gas Piping In nn_ Shutters ❑ Windows/Doors
❑Sprinklers 11 Generator L1 Roof
S Ft. of First Floor:
Utilities:Sewer 05eptic
Building Height:
Y7WN ii�� SS n
CQNTR C OR _ �� r
r �.sm.
Name~
Name: ROBERT BROWN
Address:
Company: SMITH SERVICES, INC.
City: State: FL
Zip Code Fax: \
Phone No.
Address: 1306 29TH STREET
City: VERO BEACH State: FL
Zip Code: 32960 Fax: 772-2994994
Phone No. 866-592-8268
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: FRANCES_BROWN@SMITHSERVICES.ORG
State or County License: CAC1816178
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
11/24/2014 MON 13:05 FAX
0002/002
Name:
Address:
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 inspection. If you intend to obtain financing, cons w'th lender or an attorney before
commeneifib work or recorBlne vour Notice of Commence mep / �7
STATE OF FLORIDASTATE OF FLORIDA
COUNTYOF 2 I COUNTY OF rAT\
The for oing inst ent was��a''ck""n,o,wledged before me The fo'rggoing insta�m�e�n,t_ -w�a�s .ar-cknowledged before me
this''N day of •o�� 20 14 by this day of 201g by
(Name of pe on acknow edging) (Name of person acknowledging)
(Signatur of votary Public -State of Florida) (Signature f Wtary Public- State of Florida )
Personally Known, OR Produced Identification Personally Known K OR Produced- Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
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