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HomeMy WebLinkAboutBuilding Permit Application JUN/02/2015/TUE 08; 10 AM AAS Rescue Rooter FAX No, 772-794-9783 P, 001 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: l Permit Number: m 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 PERMIT APPLICATION FOR: Mechanical y A C Address: (;is- obi s rlio fir± f=L -Iillsj Legal Description: Property Tax ID#:jWi - J f l o C301 - Oo 0 Lot No. Site Plan Name: np� ,�,rr-- �f �ff-- /� _ Block No. Project Name: L uchc �"r'i Pk Setbacks FrontBack: Right Side: Left Side: JIM!. CcGcf ahcny 00� , no .du<_t C te r•�r +oma Ll 2 Additional work to orme under t —CheckisperMlt a appy: ©HVAC nGasTank []Gas Piping Shutters E]Windows/Doors Electric E]Plumbing ❑Sprinklers I Generator U Roof Total Sq.Ft of Construction: S .FtOfof First Floor: Cost of Construction:$ .�(tr a 11 Gam'— Utilities: Sewer L1 Septic Building Height: URIr Name die-4-E, k?a 0 I _ Name: 7—atki, Nl'lni S Address: 14 _ Lir.i S db a'SL�o Company: City:,��_--pre Frc e_ State: Address: 7 '� Zip Cade: 3t( I S1 Fax: City:Vfm &n ch State•41�� Phone NogEM !j yo ail _ Zip Code: 57_5U0 Fax: 67 7t 77Y.77g, E-Mail: Phone No. `77-z -)Q ` ZZJ Fill in fee simple Title Holder on next page(if different E-Mail: Wer-Li af'E oorl) from the Owner listed above) State or County License:_Ill 4t /a Q(? 753 I. if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i i I I JUN/02/2015/TUE 08: 10 AM AAS Rescue Rooter FAX No. 772-794-9783 P. 002 MENNEN Mo DESIGNER/ENGINEER: NotApplicable MORTGAGE COMPANY: Not Applicable Name: Name., Address: Address: City: state: City: -State: Zip: Phone: Zip: Phone: FEE SiMPLE TITLEHOLDER: /Not Applicable BONDING COMPANY: _ of Applicable Name: Name:_ Address: Address: City: City; Zip: Phone:_ Zip: Phone: 1 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 holder to build the subject structure which Is in conflict with anyy applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult w7th 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, consult with lender or an attorney before commencing work or recording your Notice of Commencement. � � s —Signature of Own essee/Agent Sigfi2ture of Contractor/ se Molder STATE OF FLORIDA STATE OF FLORID COUNTY OF.�4�r i e. COUNTY OF_ .Sr Lu C,i G' The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this dayof )rine_ 20/6_by this, day of ,Jvn-t 20 /5 by jinn�: a fry L< ZGLeek (Name of pers acknowledging) (Name of person acknowledging) Ism ature of Notary Pub]''&ate of Florida) ature of Notary Pub' State of Florida) Personally Known OR Produced Identification Personall Known oR Produced Identification Type of Identlfitatiori'Produced Type of Identificativn'Produced Commission No. Q c30 (Seal) Commission No. F (Seal) SETH A DERBY gETN A DERSY MY COMMISSION it FF220930 I, I REVAs�t�U7/1S/Z�14 •3 EXPIRE$Aprii 16,2019 ",�e;,tQ.= EXPIRES April!S.2019 044'1.vsa FtorMeMotay9erme•com '4071310",53 FlwkWf*N vSeWe-wr i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I7ATf: COMPLETE j INITIALS i I I I I I