HomeMy WebLinkAboutBUILDING PERMIT APPLICATION10/29/2014 17:31 772036 SIEVE SMITHY PAGE 02/04
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED • Permit Number: 1 ' ' C
Date. BY
St. Lucie County
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F Building, Permit Application
Planning It) Development Services
Building nd Code Regulation Division
,2300 vlr inia Avenue, Fort Pierce FL 34992
Phone: 772) 462-1553 Fax: (772) 462-1.578 Commercial Residential X
PERMIJ APPLICATION FOR: To Select from dropbox, click here
Address:
Legal De:
Property
Site Plan
Project A
Front. Back: Right Side: heft Side:
0=jAsting _ air handler and condenser
i .EER, Straight Cool,i
( :��4�i�S�. i*..�n�Y"Si�0!�'�°�G�9��'s��'S'2"u�t��P' ,vF..,��C."�.\dp'�fg�C�.1:4��,�q�°(��5�{ -�" �"r�.(�°.•�^.gadtkvi•`�,X1'r�'a.v�'l�1,KvI aa.�,��,+'��a�.L:� ",.,?�r�Z"'��,hf�'i"��it *'3�l ' 1>;' g.: `'"k✓.V�� :< ,, d`i'�r%�'!;nF11+
Q E]Gas Piping Shutters
E17#1 ric El PlumbingoSprinklers
•
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S Ft- of First Floor: _
Utilities: Sewer 0 Septic
Lot No. 140
Block No. 411
Windows/Doors
Roof
Building Height:
Name f i x iee) CI e3 Name. Steve Smith
,el
Addre ' Company: Stove Smith Air Condtioning
City, .� State: FL Address: 8001 Eden Rd
Zip Cod Fax: Cry: Fort Pierce State: FL
Zip Code: 34961 Fax: 772 461 2036
PhoneN �. 77� '7&'S-�6q�a P
lr�Mail_ '_ Phone No. 772461-1425
Fill in fe ':simple Title Holder on next page (if different E-Mail: stevesmithac@aol.com
frorn th -Owner listed above) State or County License: CAC1813.454 20071
if value construction is $2500 or more, a RECORDED Notice of Commencement is required.
10/29/2014 17:31
772e, " 036
STEVE SMITH AC
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PAGE 03/04
Name:
Addre!
City: _
Zip: _
x Not
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name: _ I._
City:
Zip:,
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not•Applicable
AfamP_-
Address,
City-
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify tR t no work or installation has commenced prior to the issuance of a permit.
St. Lucie C unty makes no representation that Is granting a Hermit will authorize the permit holder to build the subject structure
which is I 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 conside ration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, perform the work
in accord ice with the approved plans, the Florida Building Codes and St. Lucie County Amendments. .
The folio ing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory : ructures, 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 tfie first inspection. If you intend to obtain financing, consult with lender or an attorney before
commen+cin�work or recording your Notice of Commencement.
.5i9111atur of Owner/ Agent/ Lessee Signature of CbritractorAlcense Holder
STATE 10 FLORIDA STATE OF FLORI
COUNTY OF COUNTY OF • L-Q�4 e
The for a hg instrument was acknowled ed before me The fo oing instrument was acknowledged before me
this Pay of � 2!}� by this `� day of aQEMby
':�'e 1 .1
(Name of person acknowledging) (Name of person acknowledging)
(Signatu 2 of ary Pub ic- State of Florida } (Signature of Notary Pu fit- State of Florida)
Personall. Known - OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced ( ;, - "type of identification Produced �L
?n No. FF LM-;� -�S' (Seal) _ Commission No. r`� (seal) C DAVIS
Eras+ DAMS
! NOTAFZY PUBLIC NOTARY PUSIX
$TATE OF FLORIDA STATEOFFamw
107/ X 512014 Cam* FF'10=5 Can fPO FF108236
Tres 3/31/2018 rea 3/31/ZU18
S FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE: MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE J !
COMPLEi
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