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HomeMy WebLinkAboutBuilding Permit Application A ALL APPLICABTf LETED 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: rte.. PROPOSED-IN PROVEMENT LOCATION: Address: 10600 5. Gir,& IiJ Or U4vs7_� Iv�205' .Legal Description: 0615Af Sm,s I R CO 9 11? "! 6 l,/ v %SOS 6101C 'Did - 9S0 Property Tax ID#: g5'11 517 000 " 7 Lot No. Site Plan Name: ,fes Block No. Project Name: /YyQ%(f Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK:' A/C CHANGE OUT EXACT REPLACEMENT ;270-;v - /�j?///J/7 J®gsf// A& Mai l o 10 Va,- 0 CONSTRUCTION INFORMATION: Additional work toe e orme under this permit-c ec a appy: HVAC 13 Gas Tank ❑Gas Piping _Shutters Windows Doors p g ❑Windows/ Doors ❑ Plumbing OSprinklers Generator Roof Total Sq. Ft of Construction: 10A3 Sq. Ft. of First Floor: Cost of Construction:$ 435-0 Utilities:11_Sewer E]Septic Building Height: QWNER/LESSEE: / CONTRACTOR: Name \Y-41,1,0- f,`. is Name: MARKAVINES Address: 1016'00 s_ C44- Al 5- 1*01,,'�DS_ Company: AZTIL City: J/=/✓SE/V /� �C� State:FL Address: 2540 S MILITARY TRAIL Zip Code: 3,V,95-2 Fax: City: WEST PALM BEACH State:FL Phone No. (7o3) 9-'11.9 Zip Code: 33415 Fax: 561-434-0018 E-Mail: Phone No. 561-433-2197 Fill in fee simple Title Holder on next page (if different E-Mail: SAMPOLIT01@GMAIL.COM from the Owner listed above) State or County License: CAC049253 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. :SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOR1VlATION 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: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 work or recording your.Notice of Commencement. ' l Signature of 0 ner/A ent/Le ee Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF � �. COUNTY OF PALM BEACH COUNTY The forgoing instrume t was acknowled ed before me The forgoing instrument was acknowledged before me this 30 day of 'T'A/ 20ffiby this 30 day of 5-v,/!a 20©by 1V ilek 4. Vliy,,-s YAtk /-�. �i✓mss (Name of person acknowledging) (Name of persona knowle mg Sig a of o Public-State of Florida ) (Si ��reary Public-State of Florida) Personally Known OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produce reg...... .,ti f+ =.JOHN EDWARD CLIFF D �,: ' JOHN WARD I €•r Commission No. f:r (Ss I) ���� ion No. '•. Q � bOMMISSIO MISSION# F077427 �, OF ," N#FF07 7 EXPIRES Decembe 17,2017 (dog 'ase. EXPIRES OQCember 17,2 7 Saoz)398.Oi 53 Florltiallofa Service.com ° Seryice.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED