HomeMy WebLinkAboutBuilding Permit Application 04/27/2015 07:53 7724612036 STEVE SMITH AC PAGE 01/03
ALL APPLICAS IE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0 24
Date: Permit Number:
Building Permit Application
Planning and i evelo mentServices
Building and C Ide Re ulotion Division
2300 Virginia venue,Fort Pierce FL 34982
Phone:(772) 162-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT AP' LIC TION FOR: To Select from dropbox, click here
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Legal Descripti n: aUQhc1O, QJLb
Property Tax H it: -'7d -oob- - Lot No. . 33
Site Plan Nam 'c Block No.
Project Name:
Setbacks Fri nt sack. Right Side: Left Side:
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Replace existir g air I andler and condenser with like air handier and condenser
L)'Ton, I L4SEEI S raight Coot i 0 kW heater
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Total Sq.Ft of const coon: S . F .of First Floor:
Cost of Constr ction $ ,�Oo.6o Utilities: Sewer[Septic Buildin Height:
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Name Name: stave Smith
Address: 4 i d eV l Company: Steve Smith Air Condtioni g
City: ?or+ State:FL Address: 8001 Eden Rd
Zip Code: zt5 Fax: City.. Port Pierce State:FL
Phone No. `; 6- $09- -1:x-la Zip Code: 34951 Fax: 72 461-2036
E-Mail: Phone No, 772 461-1425
Fill in fee sim a riitI Holder on next page(if different E-Mail: stevesmithac@aol.com
from the Own I r listed above) State or County license: CAC1813454 20071
If value of const luction is$2500 or more,a RECORDED Notice of Commencement is required.
04/27/2015 07:53 7724612036 STEVE SMITH AC PAGE 02/03
DESIGNER/E
46 . R: X Not Applicable MORTGAGE COMPANY: > Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
I I
FEE SIMPLE I ITLE OLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: I hone- Zip: Phone:
OWNER/CO ITRA OR AFFIQVIT:Application is hereby made to obtain a permit to do the work an installation as indicated.
I certify that n work r installation has commenced prior to the issuance of a permit.
St.Lucie Coun mak no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ct wit)j any applicable Home Owners Association rules,bylaws or and covenants that may estrict or prohibit such
structure.Pleas'cons It with your Home Owners Association and review your deed for any restrictions wh ch may apply.
In consideratio of thegranting of this requested permit,l do hereby agree that I will,in all respects,perfo m the work
in accordance th theapproved plans,the Florida Building Codes and St.Lucie County Amendments.
The following b ilding permit applications are exempt from undergoing'a full concurrency review.room additions,
accessory stru ures,s imming pools,fences,walls,signs,screen rooms and accessory uses to another no -residentlal use
WARNING T OWNER:Your failure to Record a Notice of Commencement may result in your aging twice for
improvement s to aur property.A Notice of Commencement must be recorded and posted on the jobsite
before the fi ins 3ection. If you intend to obtain financing,consult with lender or an attorney before
commencing ork or recording our Notice of Commencement.
51gnatur of 0 ner/Agent/Lessee signature of ontractor/license Holder
STATE OF FL RID STATE OF FLORI A
COUNTY OF I CLQ- COUNTY OF - 1r ca
The fo oing in rum t was acknowledged before me The fo�r�going instrument was acknowledged before me
this day o 2a0 by this°i`� day ofN' by
i
i
t �
(Name of pets ackn wiedging) (Name of person admowiedging)
Ij
(Signature of ry ary Pub lc-State of Florida) (Signature of NotaPu lic-state of Flo.rida)
Personally Kno v'n OR Produced identification Personally Known OR Produce Identification
-
Type of Identifl tation Produced� PL- 'D Type of identification Produced -Dk-
Commission N G IL LS (sea)) commission No. IF 1DC7 5 (Seal
6o
ERIC DAME OAVI$
NOTARY PUBLIC I dWARY PUBLIC
I; S'tA'I'E OF FLODA
ETATE OF FLORIDA
Revised 07/15/20 4 Cam FFIFOLBO RICa Tn"M F1710=5
ExOres 3/3112018 Elres 3/31/2018
REVIEWS j fR NT ZONING SUPERVISOR PLANS VEGETATION SEA RTLE MANGROVE
F CO LATER REVIEW REVIEW REVIEW REVIEW REV EW REVIEW
aATE
RECEIVED
DATE
COMPLETED `n