HomeMy WebLinkAboutBuilding Permit Application Jun 23 15 02:09p Wolf Airconditioning 7724641127 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: -raj!�A 5 Permit Number.IMM
Building Permit Application
Planning and DevelopmentServlces
Building and Code Regulation Division
2300 Virginia avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1579 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line a%r"
PROPOSED IMPROVEMENT LOCATION:
Address: S At Sc c C` d J t
Legal Description: `c.�. !c _�•zr 1 (-tet t� ;�- Cis— ��C,.��A f-7 73
G,-�- ��
Property Tax ID#J��{cy Ca-0 " a C)�" CX:-r1 "- Lot No.5 +-5
Site Plan Name: Block No. Q-C!
Project Name:
Setbacks Front Back: Right Side: Left Side:
.DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION-.
itrona wor to e ne orme under this permit—check
a"
appy:
OHVAC L..`iGasTank ❑Gas Piping _Shutters ❑WindowslDoors
ElElectric ElPlumbing O Sprinklers Generator D Roof
Total Sq.Ft of Construction: Scf. Ft,of First Floor.
Cost of Construction:$ 5-3&5 Utilities:OSewerSeptic Building Height:
OWNER/LESSEE::: . CONTRACTOR:
Name��v',� Lr�r,�"� •.. � �r:.�.�z,:�' Name:l.JC �f Cc✓�c� � r r
Address: �/�7tn� J'�1�� [�G- � C - Company:
City: *"� - C `� P' r e State: Address: ? Avg
Zip Code: 3S`'s Fax: City: � �P^c State: t--�
°~ p :3 L! 5'�. �� L&y-//,p 7
Phone No. '�`7.� --� 75 - .7� `-r�� Zi Code ax:
E-Mail: Phone No.__27-,� 7 q&, Cr
Fill in fee simple Title Holder on next page(if different E-Mail:C,)-6I `� e-QviS-+ =Y►C:7 =' •.nG
from the owner listed above) State or County license: r?S} 3�
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jun 2315U2:QOp VVolfAhnnnditionk0 7724641127 p.3
.-SUPPLEMENTAL CONSTRUCrION LIEN LAW INFORMATtON:
Name: Name:
Address: Address:
City: -State: Ciltr 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 Coun makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is I,cconlict 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 exemptfrom undergoing a IWI concurcencV re%4ew.room additions,
accessary 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 payingtwice for
improvements to your property.A Notice of Commencement mustbe 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 recoEqft your Notice of Commencement.
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_day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
n=A-4j
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida I
Personally Known_OR Produced Identification Personally Known_OR Produced Identification
Type of identification Prods'– – – – – – – – – – -`Identification J---J– – –
MIKE MAAnN
Commission No. 1"My Public-ftm ol flart Trission No. xotaryg�im -State of Mr[Oa
Commission OFF 218951 Coaffirmawlss #FF 218961
My Comm.-Expires Apr 5,20 9
My Comm.ExpIrst Apr 5,2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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