HomeMy WebLinkAboutZoning Compliance Home Use 05/14/2015 THU 14: 23 FAX 2001/004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 17 DANZAR, FORT PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID#: Lot No.17
Site Plan Name: Block No.
Project Name: GENEVIEVE SMITH RESIDENCE
Setbacks Front Back: Right Side: Left Side:
A/C CHANGE OUT LIKE FOR LIKE EXACT REPLACEMENT, 3 TON GOODMAN PACKAGE UNITY
MODEL#GPC1436H41 W/8KW HEAT. 14.00 SEER
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itiona wor to e e Orme un erthis permit—checkallr appy:
HVAC !_J Gas Tank OGas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4300.00 Utilities; 0Sewer ElSeptic Building Height:
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Name GENEVIEVE SMITH Name: ROBERT BROWN
Address:17 DANZAR Company: SMITH SERVICES, INC.
City: FORT PIERCE State:FL Address: 1306 29TH STREET
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No.772-242-1331 Zip Code: 32960 Fax: 772-299-4994
E-Mail: Phone No. 866-592-8268
Fill in fee simple Title Holder on next page(if.different E-Mail: FRANCES—BROWN@SMITHSERVICES.ORG
from the Owner listed above) State or County License: CAC 1816178
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
05/14/2015 THU 14: 23 FAX 0002/004
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip:. Phone:
FEE SIMPLE TITLE HOLDER: _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 thepermit 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, sul ith lender or an- rney before
commencing work or recording our Notice of Commenc ent.
i
_Signature of Owner/Lessee/Agent Signature of Contractor/Lic nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF %'
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this 114 day of__nP� 20 L by
(Name of person acknowledging) (Name of person acknowledging)
4 - G�
(Signature of Notary Public-State of Florida) (Sign re N Notary.Public- State of Florida)
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced,�,�,,))
Commission No. (Seal) Commission No. _SWtO (Seal)
Revised 07/15/2014 J =* - AXP COMMISSION 6 FF 083006
7
EXPIRES:April 25 2018
Af Bonded ttuu Notary Puyrc Undetwr ters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS