HomeMy WebLinkAboutBuilding Permit Application 07/07/2015 08:39 7724612036 STEVE SMITH AC PAGE 01/03
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ALL APPLICABLE I FO YUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: Permit Number: G
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 from dropbox, click arrow at the end of line
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Address: 7912fd� Aan r.
Legal Description; d'/d1 ✓ �^ ,
Property Tax ID#: / Off- 0/014?- Ol/ dr�/D"� Lot No. P
Site Plan Name: Block No.
Project Name: j
Setbacks Front Back: Right Side: Left Side:
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rti na wor O e e Orme under i is permit-cl7eck all apply:
HVAC Gas Tank Ll
❑Gas Piping `Shutters Win ows/boors
Electric Plumbing Sprinklers IJ Csenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$� O Utilities:Sewer EJSeptic Building Height:
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Name ami i+V /Ye, Name: Steve Smith
Address:_ /1.4 4401449/1_ Company: Steve Smith Air Conditioning
pity: .�� ri __ State:A1 Address: $001 Eden Rd
Zip(.ode:_� z Fax:_ City: Fort Pierce State:F'
Phone No. 772- ���~Y!� Zip Code: 34951 Fax. 772461-2036
E-Mail: Phone No. 772 461-1425
Fill in fee simple Title Halder on next page(If different E-Mail: stevesmthac@aol.com
from the owner-listed above) State or County License: CAC1$13454/20071
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
07/07/2015 08:39 7724612036 STEVE SMITH AC PAGE 02/03
DESiGNE ANGINEER: x Not Appilcabie MORTGAGE COMPANY: 'X 1401:Applicab e
Name: .,,•..,� Name:
Address: Address:
City: State.• City: Stater
Zip: Phone;_ Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: , Not ApplIcabi
Name: Name: I
Address: Address: I
City: City:
Zip: Phone; -- Zip:-Phone:
OWNER/CONTRACTOR AFFIDI/IT:Application is hereby made to obtain a permit to do the work and 1 istallatIon as Bid
I certify that no work or installation has commenced prior to the issuance of a permit
St.Lucie Courr,,##�mak, no rep entation that is granting a permit wilt authorize the ermlt holder to build#e subject str ct re
which is in conflict=an applicable Home Owners Associafion rules,bylaws or art covenants that may. ct or prohibit uch
structure.Please consult with your Home Owners Association and review your Beed or any restrictions WhIct 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 Ouikling permit applications are exempt from undergoing a full concurrency review room add' ons,
accessory stru.�tures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non- Idsntial use
WARNING 10 OWNER:Your failure to Record a Notice of Commencement may result in y ur ps ying twice for
lmrovemerits to your property.A Notice of Commencement must be recorded and posted on the jobsi
before the first Inspection. If you intend to obtain financing,consult with lender or an attorney before
commencinzwork or recordin aur Notice of Commencement.
r
Saignatu of Owner/Agent/Lessee Signature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF. EfaQ COUNTY OF S L_
The forgoing instrument was acknowledgq1before me Theforgoing instrument was acimowleti a before me
this day df '" ag��Zp by this` day of 20 by
eVe.c =
(Name of person acknowledging) (Name of person acknowledging)
(Signature of.46bry.Pub c-State of Florida) (Signature of Notary Public-State of Florid
Personal) Known_OR Produced Identification personals Known OR Produced Idttification
Type of identification Produced_ �[� Z7 t. Type of Identification Produced F t—
Commission No. ICs' (Seal) Commission Mo. FF 13)9035 Seal !)A
CRiC
NWARY PUBLIC NQTAitYRO IC
STATE OF-FLORIDA I FA
Revised o7/1S/2014 Capp*FF10B�b Cam»di�t
qWW Exp ma 1a > B
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TUR I E MANGR VE
COUNTER REVIEW REVIEW REVIEW REVIEW RM. REVi
DATE
RECEIVED
DATE •
COMPLETW;
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