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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE 11FO IVILIPT BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 X PERMIT APPLICATION FOR: To Select from dropbox, click here rte'-+se-.L-.�^r,.ne u'�A� ..,tPJ' x+ „y..w�-a'-a •�� s�'�-��r�'r�- r.. tr^'p�,rb -c yY-..a.w.s,.� r� �.i Y•r � zrb s� ,�`�h�' r `s, FR '�^y ric:s"'=.. � `�`3� . 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G��.�,...«.r'r�°�`��'� �w'�.�r^s�'�.. �!5a�.�`., ..�'.." u'�> a ��� �-� �. s.�� ,r�x,..s���r^�� .a '�•. s��,�.s�.:..r-: ,xxa-?a>, .,�. �:. ,. �.,.;,w' 'r'�,a-"rE.'s �-.:.. ��'n air`���'.✓r'�`?'�. �:��,��'rn' -x;,n�'v,�.e .��"�T��ax re��L�"7S�r�',' �:�, "�". ar..g-.�,.s, 'der � tkfi"�c�,e��.^.i-.� Additional work to be nertormed under this permit-check all. apply: I✓ HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors . 11 Electric 0 Plumbing OSprinklers L]Generator 1:1 Roof Total Sq. Ft of Construction: S .Ft.of First Floor: Cost of Construction:$j� �OV Utilities, Sewer Septic Building Height: -" e. .,Nevr"�""F f 3 �+Ci'.Yr 4' Y 1 A� a+. C�`.,,tv"�" tea*.«ty. ,1 9Yr,1' �"� :..f �, i`t7`*• /'yi ,'' r F*,''r Z -,y ,tea 15�s�G"� p:d il�'� .�• S r 7 r, c i" -.z � '""�'� 7 � vy�T 3 t � �,.to �,�5'l�},.': IRE S.'!+�e'�.. - �<` °-',L'1^ y. tti"rs ✓.� 'C„` f S 1...,. aCaa, :ea� L`� a '.b .�``5x'�za. �.' �a`rr'�.oi. Name Name: Steve Smith Addres : Company: Steve Smith Air Condtioning City: State:F� Address: 8001 Eden Rd Zip Code: Fax: City; Fort Pierce State:FL Phone No. Zip Code: 34951 Fax: 772 461-2036 E-Mail: Phone No. 772 461-1425 Fill in fee simple Title Holder on next page(if different E-Mail: stevesmithac@aol.com from the Owner listed above) State or County License: CAC1813454 20071 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict 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 exempt from undergoing a full concurrency review:room additions, accessory 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 paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing or r r cording our Notice of Commencement. (��a C s _Signature of Owner/Lessee/Agent Signature of Contractor/License Hold/erg STATE OF FLORIDA STATE OF FLORIDA LLL OFS �SL�\� COUNTY OF The forgoing instrument wa acknowledged before me The forgoing instrtt ent wa ckn wledgere me this�ay of 20�y thi,6day of 20 by S' l (N e o person acknowledging) Ina (Name of person acknowledging) (Signature of Nota Public-Slate of Florida (Signature of 10tary Public-State)of Florida) { „SVP,. {IV n,,4, Personal) K,W-'R_zroMd1 aG,Eu 1 on Personally Kno Personally K . d 'Typeof Idehti ��e�� Type of Identifi t�ca�a" ciuced ANGELA IN HUFF; Notary Public-state of FloridaComm.Expires May 27,2019 • = Commission No,.-"-,'-- .9onded lhrouuh National lilii0Xssn. Commission N •'° CommleeloA §A;Jy730 •'•n�ov v��•�' Qmm.Expires May 7,2019 BorxfedthroughNationalNotaryAssn Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS