HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE
Date: October 28,2014
LO-0
Planning and DevelopmentServir
Building and Code Regulation Div
2300 Virginia Avenue, Fort Pierce
Phone: (772) 462-1553 Fax: (
PERMIT APPLICATION FO
Address: IS Jasmin Lane, Port
Legal Description: Spanish Lah
Property Tax IC) #: 3414-501-170
Site Plan Name:
Project Name: Newman
Setbacks Front
Change out a/c unit - install
WC14421-141114092884$
COMPLETED FOR APPLICATION T613E ACCEPTED
SCANNED Permit Number:
. BY
St. Lucie County
Building Permit Application
34992
1)462-1578 Commercial i - Residential xxxxxx
Mechanical
:-LOCAT-10
Lucie. FL 349S2
Mobil Home Community
2
ck: Right Side: Left Side:
.zoodman 3.5 - 14 seer SC paickage w/1 0 kw heater kit
Lot No.
Block No,
'ON
tGNSTRUCT
De
altionall work to b ormed underthis permit— cheCK all [napply.
0HVAC Gas Tank ElGas Piping Shutters Windows/Doors
Electric Plumbing OSprinklers ot I 7enerator Roof
Total Sq. Ft of Construction: Sq. Ft. 0� I First Floor:
Cost of Construction: $ 4,500.00_ utilities: LJ Sewer []Septic Building Height:
Name l-ANewman
Address: 15 Jasmin Lane
City: Port St. Lucie
ZIP Code: 34962
Phone No. 772-621-9114
State: FL
Fill in fee simple Title Holder an next Page (if different
from the Owner listed above) I
Name: Shenied O. Watson
Compa Y: ProMaq Energy Group A/C & Heating, Inc.
Address 4205 1/2 Metzger Road
City: Ft. IPierce
State: FL
Zip Code - 34947 Fax: 772-2524831
Phone No. 772-467-=7
E-Mail: lisal@promagenergygroup.com
State or County License: CMCA48033 1 27034
If value of construttion is $?SOD or m6re, a RECORDED Notice of Commenciment is required.
f'AAA /7AAA N31 I TAWWOU Avwnuj o77e 1 oT,7 i 1 -4- vwj uvTn'TT TTA7J07JAT
IIGINEER: • Ira
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
i certify that no work or installation
St, Lucie County make$ no represem
which is in conflict with any applicat
structure. Please consult with your }
In consideration of the granting of ti
In accordance with the approved pla
The following building permit applic+
accessory structures, swimming Poo
WARNING, TO OWNER: Your ft
improvements to your properi
before the first inspection. If y
Commencing work or recordin
IfE
Applicable MORTGAGE COMPANY: XX : Not Applicable
Namek
stater City: I State•
Zip- 1 Phone:
i
XX Not Applicable BOND NG COMPANY: xx Not Applicable
Name:
Zip: �� Phone:•
as commenced prior too the issuance o a permit.. t
tiro that Oiwners ASgoclation1 rul will authorize
or and covenants that build
ayrestrict
borr p ohlbit such
Me Owners Association and review ydur deed for any restrictions which may apply.
;requested permit, I do hereby agree that i will, in all respects, perform the work
s, the Florida Building Codes and St. Lucie County Amendments.
ions are exempt from undergoing a fu�l concurrency review: room additions,
,.fences, walls, signs, screen rooms and accessory uses to another non-residential use
ure to Record a Notice of Commencement may result In your paying twice for
. A Notice of Commencement ust be recorded and posted on the jobsite
.l intend to obtain financing, co suit with lender or an attorney before
Your Notice Of CommencPms-nt,
% 0 91"� �
Signature of Owner/ Agent/ lessee
STATE OF FLORIDA
COUNTY OF as. Lucw
The forgoing instrument was acknowledged before me
this -day of 20 lA by
C>
[Name of person acknowledging)
(S�94ture of Notary Pu lic- State of Florida 1
Personally Know
'type of Identific
Commission No.
Revised 07/15/2014
LISVMAail LAWREr10E
Notary ublic - 51910 UT"'Wrraar
V Co m. � mar 11. 2017
Cam lesion-�p EE 882542
lnnded rouah Na IMI Notary Assn
bignature lot Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sr.Lud.
The forgo[4 g instrument was acknowledged before me
ThIs,XL day of_O.U-r „ . 20..1A by
shaMed o. wohon
(Name of person acknowledging)
(Sign re of Notary Public�Se
f Florida )
Personally Known xxxx OR Produced Identification
Type of identification Produced
,,, LI5A MARIE L of Florida
Commission+ No. puD1ar 11 20
ot>tty 17
r ; • e My Comm. ExPllos
T, MMIS61on N EE 882542 n.
r;� or_.k, ••' Bonded WOO 14
REVIEWS FRONT ZONI G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVI W REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS