HomeMy WebLinkAboutBuilding Permit Application LI
ALL APPLICABLE WFO:MLIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: �"1 Permit Number.
DECEIVE®
Building Permit Appiicafiion JUN -9 2015
Planning and Development5ervices
8.uilding and Code"Regulatiorr.Division
230a Virginia Airenue,Fort Pierce Fl.34982
Phone:(.772)462- S53 Fax:(722).462=1578 Commercial Residential _
PERMIT APPI:ICATION FOR: Mechanical
PRpPOSED INPROVEMENTlQCATlpl�l .
Address nC l a a Yl _ O LS)
LegalDescription:
ilnjl: Inriiv S't2I0ure
PropertyT.ax ID t < Lot No;
Site.,Flan Name: _ Block.No:
Project Name:
Setbacks Front Back: Right Side: Leftsde:
DETAILED QESCRIPTlON 01 WORK•
� 2
I;lq INFQRMATION
1tional work to, e performed.
.under is permit—c ec a appy:
[ZHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
.Electric 0 Plumbing. 1pri'nklers. Lel Generator F Roof
Total..ScI.Ft of Construction:, r�2 Sq. Ft.of First Floor:
Cost of;Construction:$'., �`T 1
Utilities: Sewer 0Septic Building Height:
OIIVNER/LESSEEl7NTRACTOR.
Name r Name: RALPH WARREN
Add ess:.9 1 tr I _1 Y ate- f_16e_ �_ Company, AIRFLOW AIC AND HEATING
City:aa�Wuy PC Lf V State' IIS- Address: 50 NE-:DIXIE HWY.SUITE D-1
Zip.Code: Fax: - -� 01ty; STUART State:FL
Phone No.. �" ��a�' C2-10e
��di' 0 .Z10 Code: 34994 Fax:
E-iVlaif= Phone No: 772-781-2665
Fill)n#ee stmple'ride Bolder on next page(.If different E-Mail. @9
airflowacfl mail:com
from the Owner listed above) State or'County License: CAC1817930
If value of construction is$1.50o ocmore,a RECORt)Ed Notice of Commencement is required.
__.. --- ---- _.-
SUPPLEMENTAl4CONSTRUCTIflN !tEti! lA�1L 1NFCItFtMATit7N
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY. Not Applicable`
f,
Dame: _ Name:
Address. Address:
City: state: City: State:
Zip: Phone: . Zip: Phone: l
f
FEE SIMPLE TITLE HOLDER: Not Applicable I aONDING COMPANY: v —Not Applicable ;. {
Name: I Narne:
Address: Address: i
City:. _ City:
Zio: Phone: Zip: Phone:
OWNER CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated
1 cerify*,)at no work or installation hascommenced prior to the issuance of a permit.
St Lucie County makes no represerrtation that is granting a permit will authorize the permit.holder to build the sub)ect structure
which h in conflict with'any applicable Home Owners Assactation rules,bylaws or and covenants that may restrict or prohibit such
;,ructure Please consult with your Home Owners As,nciation and review your deed for any restrictions which may;apply.
In considera tior of the granting of this requested perinit,I do hereby agree that I will.in all respects,perforin the work
in-:acz osdance with the approved plans,the Florida Building Codes and St,tucie County Amendments.
The fallowing building permit applications are exernpt from urderuoing a full concurrency review.roorn additions,
accessory strr;ctures,swimming pools;fences,wall,,signs,srreen rooms and accesso1yUs4s to another non-residential tile
WARNING TO OWNER:Your failure to Recorda Notice of Conumencement.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 yati intend,to obtain financing,consult with lender or an attorney before
cornmeencing work or rec-ordingyour Notice of Commenciernet�t, _ _M
Sig azure of O n rJ Agent/Lessee Ss"gnaturc;a ntractortl.irense Holder
STATE OF FIL RIDA STATE OF FLORIDA { i
COUNTY OF �-� } uCL � � � COUNTY OF. ..__lfc;:�+�� _ _ _
The forgoing instrument was acknowledged before me The for oing instrument utas acknowledged before me
this 6w` clay of 20 by this day of
i�4�- _120�by _
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a�re_n
_
j (Name of-peri-61i acknowledging) � (Name of person acknowledging)
( (Signature of Notary Public-State of Florida} (Signature of Notary Public-State of'F arida)
1
i Persrinally known V" OR Produced idertt:ticatkor Persorrasly Known V."—OR
/ OR Produced Identification {
! of Identiffc-atio
Type of identification..Produced YPe
ussy Ii1elON Ie110I19N 46not41 popuog ,•„,,,,,,
,atm'34�, e y�•01i 3p••j
j C-611rm`tssion No.- 'USsy ASE ON(eU01jEN go No-�Q� o a Commission No_ Q$9&L.1��#UOIssf iml1 6 '6.�
flfl 0£96L1 44#UOIsSIWW00 ae' `mss, 91OZ'08 noN sojidx1 WWoo AIN
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ep.t t�i i iS 1l3SSnkl Hb'b0930
Revi,se l 1161 ti111� ��,B�NAtld`��
Iil3SSt1l3 Htl2i0930 , "� W NIP
REVIEWS 4 FRONT ! ZONING SUPERVISOR ^plNs j VEGETATION SEA TURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW i REVIEW REVIEW^ REVIEW !
DATE � I �1
RECEIVED i I 1 f
;aAT� ( - l
CG3-51
___ ETED
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