HomeMy WebLinkAboutBuilding Permit Application Jun 0815 03:33a Advantage Air Cond, 3213124575 p,2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: A-j� 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
PERMIT APPLICATION FOR: To Select frorn dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:��QrF;
Legal Description:A Omriv .1" )LAP
(-'4,Y-YAcw n
SeEC � .�ZVtn
Prop"Tax ID#: C�44 a3�.C-0a, Lot P
Site Plan Name: B106 lo.—
Project Name; r&M
Setbacks Front Back:_Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.-
Ce Li Le r L, fie, Mfi-C", cCn
rel lm�a i� C-16aA-1W r) 0�) (0 seer
ION INFORMATION:
CONSTRUCTION - -----------------
Additional VVAC worTt-o-Fe—gerfOrme d under thii-p—ermit-check all hatappy:
K F]GasTank FIGas Piping Shutters F]Windows/Doo
—
0 Electric EjPlumbing OSprinklers Generator 0 Roof
Total Sq.Ft of Construction: Sa.Ft.of First Floor:
Cost of Construction:$ (S) Utilities:n—Sewer USeptic Building Height: .
OWNS LESSEE: CONTRACTOR:
Nam
C
Name:
Add (D
(J�
L Company: hc�
rr:ss:
City: State: Addre!!
Zip Code, Fax: City: St
Phone No. Zip Code:
E-Mail: Phone N
Fill in fee simple Title Holder on next page if different E-Mail:Mint
from the Owner listed above) State or Count cense: Ck 16
tf value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
-75
Jun O81501:43a Advantage Air Cond. 3213124575 p.3
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: Not 3pticable
Name: Name:
Address: Address:
City: State: City: tate:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: —NotApplicable BONDING COMPANY: —Not J, plicable
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 ermit holder to build the subji, :structure
which is in conflict with any applicable Home Owners Association rules,bylaws or angcovenants that m estrict ot rohibit such
ayhi
structure.Please consult with your Home Owners Association and review your deed for any restrictions, hmayzi i ly.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the wc
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-residen'i I use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying t i ce for
improvements to your property.A Notice of Commencement must be recorded and posted on th i jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attomey bi! )re
commencing work or recording your Notice of Commencement.
Signaturteof Owner/Lessee/Agent Signatuife of Contractor/License Holder
STATE OF FLORWA STATE OF FLORIDA
COUNTYCIF COUNTY OF �RrXn(4
The f Ing instrument was acknowledged before me The fr
this 9W day o"' _1 1 70 15y this going instrument was acknowledged befon ie
(Name of person acknowledging) (Narrie`�f person acknowledging)
Personally Known--I—OR Produced Identification Personally Known— R roduced Identifica n
Type of Identification Produced Type of Identificati/n_Pr.d,0cedp
Commission N sionNo.1_0054A _0 '14*
Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW IEVIEW
DATE
COMPLETE
INITIALS
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