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HomeMy WebLinkAboutBuilding Permit Application Jun 2515 09:43a Ricciardis Heating&A.C. 863-357-0790 p.2 AL-APPUGM3LEINFO MUST BEOOMPLETFD FORAFFUCATI ON TO BEAOOBTED Date: 1.4 /- Pbrmit Number: I S O G-04 y a RECEIVED JUN 2.5105 Building Permit Application Hanning and Development Services Building and Cbde Fbgulation Division 230011irginiaAvenue,Fort Heroe R_34982 Phone:(772)462-'1553 Fac (m)4U-1578 Commercial Pesidentiaf _ PERM ITAPRJCATION FOR To Select from dropbox, click arrow at the end of line PF4DP0fflD IM PR0kWBVTLOCATION: Address 5l!?6 / ren n J v V- -1/t 0 Legal Description: Itjhs _ G/ Iw P1cr?aLK_�c2- -? - Iz 9 SS -4) _ r Property Tax lD# -3 qlt) ©oDa-1�®B -p _ Lot No._� Ste Ran Name: Bock No. _ Project Name: B?tbadcs Front Badc Rght 9de: Left 9de: DUAIL®DEQ PRON OF=WORK Lt Ke For [ t 1G - ipad/vta r: "�-j�A C�n� 5'a t / 3 72,,- oa�ivla ( c r kana l e r , 10 K W Ait-a f I q S-ez-r OONSR"ON INFi0FMA110N: ran wor o arm un er Is perm—ft-- apply: _HVAC LjGlasTank ❑CasRping El 9iutters QWindows/Doors �8ectric El Plumbing 0�rinklers []Generator neE l lbof Total 31.Ft of Construction: ll?D 9- Ft.of First Floor: Cbst of Construction:$�4�15.oa LltilitiesU&wer F-1 S?ptic Building Height: OW ER] CONTRACTOR Name lj A, e g2 I L(� f 2. o LA Name. Al iC Address_25n2 aate: 4' Address /77 f S A,,, roar/ p.,;Zec J r� ap Code: 36/�V 2 Fax Qty PA r+ S Fhone No._`??'*� - .3 (f- 6 z l'o 21p Code:3 Y95.3 Fac:26 3y��-n7 SD E-Mail: Phone No. -4)' R11 in fee simpleTitle Holder on next page(if different E-Mail: rjCe/,-2,rjztj from t he Owner listed above) gate or County Lioense cf- A.<-- /.jP f 6 2 5,V If value of construction is$2500 or more,a F Notice of Commencement is required. Jun 251509:43a Ricciardis Heating&A.C. 863-357-0790 p•3 S •Rr...'f✓p kXX `r it�-,i :l j''''-t..e's i.....k' x.: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: .'got Applicable Name: Name: Address: Address: City: State; City: State: Zip: Phone: Zip: Phone: FEE SIMPLE MU HOLDER: .___Not Applicable BONDING COMPANY: of Applicable Name: Name- Address: Address: t.ity: Gty: Zip: Phone- Trp: Phone: I certify that no work or installation has commenced prior to the issuance of a penni#. St Luae County��makes no representation that is granting a permit will authorizethe permit holder to build the sulfjectstructure wh"�ft is in coflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consultwith 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 vAth the approved}dans,the Florida Brdlding Codes and St Lucie County Amendments. The fbilowing building permit applications are exempt from undergoing full concurrency review:room additions, accessory structures,9mmming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a lllotice of Commencement may result in your paying twice for Improvements to your property_A Notice of Commencement must be recorded and posted on the jabsite before thefirst inspection_If you intend to obtain financing,consult with lender or an attorney before commen ift work or recordimyour Notice of Commencement ignature of owned Agent/ tune of Contractor/lic o er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Le c° J S COUNW OF an 'the forgoing instrument was acknowledged before me The forgoing rostrum t wa-s acknowledged before me th' day a#QL t"__, 20 x by this day of� �` = --j by 0AD 16'a (Name ' clm�+�+r"(edging) (Idirniiof person acknawfedging) - 4-0 jda-h �tL bf otary p tic- } I;. a�re N P !ic-State Of fi } Personally Known OR Produced Identification Personally known OR Fradue ed identification Type of ldentifi Praduced Type of ldentifcati ;Prrodduced Commission No4rIWA01 (seal) Commission No.S ,3�,Qa (Seal) �F L'rt�at �Pt�esl�Irarfto�ds ��`•� �w�a+arn:a tit �1�1a0oot REVIEWS . SUPERVISOR PLANS VEC,E a 0A A A VE COUNTER REVIEW REVIEW REVIEW REVIEW REVREVIEW R DATE COMPLETE INITIALS