HomeMy WebLinkAboutBuilding Permit Application JUN-17-2015 12:35 From:SPEEDY RC To:7724626443 Pa9e:2/3
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I.
I
Building Permit Application
Planning and Development services f
Building and Code Regulation DIVISI0
2900 Virginia Avenue,Fort Pierce FL 94982
Phone:(772)462-1553 Fax.(772 462-1578 Commercial Residential XXXXX
PERMIT APPLICATION FOR: To Select from dmpbox, click arrow at the end of line
Address: 1 7-InyPXto-�,4� Wa ,9D f-� Wit. 4L_ 4619(p
Legal Description: at t�.�) �_o+ }
Property Tax ID Lot No.
Site Plan Name l Block No.
Project Name:
Setbacks front_ Back: _Right Side: Left Side:
epiace I`37 Q,G $�S-4evY1 u��-1i Gt -[D r7 Ilo Se-,r a,!S`TA C;. C£)►�a n5,�Q in e
At. 1}A q A '70 3(n A t oda A artd A 3 Ton A�r riar,d►�r 1mocLat� -re-.n%(oA PJ c_ V(,,,it.S 1 5A w
lac�.sy�+em a. .ii-� a aro•, Ifisee a cog. cn.•�n u�a�at a�rtr� �oa�}r4 +e^ r�
w�1h Q oLTonAir t14ruler ,M0dLQ_1 Tenn4 A.Z4$ aLi H D_ts4 w�`I1, 5 KLw SU&r e- N e+i:4 !SA)r ps
Additional work orme iyn er s permit—c ec a apply:
Z✓ HVAC 11Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric O Plumbing,i _
Sprinklers Generator Roof
Total Sq.Ft of Construction: __ SFt.of First Floor:
Cost of Construction:$ I�DLo• UtilitiesSewer Septic Building Height:
Name -500aiA VIS ' Name: DAVID BINDER
Address:l r7b1$ \(artWS QGtL1 Company: SPEEDY AIR_CONDITIONING SERVICE.LLC
City: 4, L_Lku� I State: JPt-- Address: 627 SW BILTMORE STREET
Zip Code: 3i 1 Gl$ Fax: :i" City: PORT SAINT LUCIE State:FL.
Phone No. `�n'a'aacCo Zip Code: 34883 Fax: 772-934-3511
E-Mail: I Phone No. 772-871-1560
Fill in fee simple Title Holder on ngxt page(if different E-Mail: SPEEDYACSEIRVICE@GMAIL.COM
from the Owner listed above) State or County License* CAC1817623
If value of construction is.$2500 or mare,a RECORDED Notice of Commencement is required.
JUN-17-2015 12:35 From'SPEEDY AC To'7724626443 Pnyc:3'3
I certify that no work or installation hat commented prior to the issuance of a permit.
_T_ MORTGAGE COMPANY: Not Applicable
Address: Address:
City; State. City: State,
Zip: Phone: Zip:—Phone:
FEE SIMPLE TITLE HOLDER: 1 7 Not Applicable BONDING COMPANY: —Not Applicable
Name: Name.
Zip: Phone; Zip, Phone:
St.Lucie County makes no representatl n that is granting a permit will outhorize'the permit holder to build the subject structure
which is in conflict with enj applicable ome Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult w th�qur Ho e Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this quested permit,I do hereby agree that I will,in all respects,perform th work
in accordance with the approved pla the Florida Building Codes and St.Lucie County Amendments. e
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 aixessory uses to another non-residential use
WARNING TO OWNER:Your failL re to Record a Notice of Commencement may result in your paying twice for
I m provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if youj intend to obtain financing,Spalylt with le rney before
commencing work or recording y9ur Notice of Commencernipsht.
7D
Siggature cif Owner/Lessee/Agent §Jgnature of Cdntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—Yo vt- COUNTYOF "t-
The foToIng inst%ment was acknOlNleilged before me The forgoing instrument was acknowledged before me
this.�day of 5-by this ay of QQ_1rIJ 20 15 by
20 d
(Name of person acknowledging) (Name of person acknowledging)
*at,qke&&Alpt_M Publio-State of Florida (Signature of Notary Pubil -State of Florida
OR Produa�d Identification Personally Known OR Produced ldenffl�ati?p'
1AR0 Seal) Cc LINDA MARIE BOUCHARD(
EXPIRES May 21,2018
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