HomeMy WebLinkAboutBuilding Permit Application MAY-12-2015 11:28 From:SPEEDY AC To:7724626443 Pase:213
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: permit(dumber:
Building Permit Appiication
Planning and Development Services
Building and Code Regulation Division
2340 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXXXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 1(.2.l.ci?L2, V1 gi A lila i� z'�tJ3 �'o�-� `� G�a� ,4A_ LK 5A
Legal Description: a r„AD,
Property Tax ID#: 3qaQ ' CaCC ao�0-d(�}�� _ Lot No.
Site Plan(dame: Block No.
Project(Dame:
Setbacks Front Back: Right Side: Left Side:
a Y ltl. I l r{ yta 7 ti' S •� ". u SiS'il i `
g °RY4 i.J INN a 0
Ilfi.� ;4I`SlI �3°icx�.r� $ 91rt�l�h���
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iYcona wor o e e orme un er i s permit-c ec a appy:
�F-0VAC �Gas Tank ®Gas Piping _Shutters �Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ .OO Utilities Sewer®Septic Building Height:
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Name9,�a 'WPearc_� Il Name. DAVID BINDER
Address: .5a5 QUP_.+'1gatA j)K Company: SPEEDY AIR CONDITIONING SERVICE,LLC
City-aYt!�t ,ranc,�hihr'ia State:•v A Address: 627 SW BILTMORE STREET
Zip Code: Fax: I City: PORT SAINT LUCIE State:FL
Phone No. 15'}b - 3$I - f5$94, Zip Code: 34963 Fax: 772-934-3591
E-Mail: Phone 1,10. 772-871-1560
Fill in fee simple Title Holder on next page(if different E-Mail: SPEEDYACSERVICE a@GMAIL.COM
from the Owner listed alcove) State or County License, CAG1817623
1f value of construction Is S2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address: I
City: State: City: State:
Zip: Phone: Zip: Phone
I
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name' Name,
Address: Address:
City: _ City:
Zip: Phone' 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 hof er to bu Id the subject structure
which is in conflict with anx applicable Home Owners Assotlation rules,bylaws or and covenan that may.restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any r rictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all res cts,pe orm the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendr ients.
The following building permit applications are exempt from undergoing a full concurrency review:room dditions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to pother on-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result...y.I r 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 len orney before
comm ork or recording our Notice of Commencem
5
_Signature of Owner/Lessee/Ageni Signature of Contractor/Licer se Holder
STATE OF FLORIDA STATE OF FLORIDA I .
COUNTY OF COUNTY OF
forgoing instrument was acknowledged b ore me The forgoing instrument was acknowl dged before me
this Oln day of 20 16 y this �1 day of o by
(Name of person acknowledging) (Name of person acknowled ng)
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(SiLRa�reof-Notary Public-state of Florida) (S gnature of Notary Public- tate of F orida)
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OR Produced identification Personally Known Jt- 0 Produt d Identificatiaj��,-
"P&
etjlcetiorfiroduced Type of Identification Produced w
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�.CofiTn„7ssi_ LINDA MARIE BOUINKFID Com (Se' �':f -: ,• ;
.i;s 'TRAY COMMISSION#FF 125528 LINDA MARIE Ido CHAR �` � �:, t✓. 1
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