HomeMy WebLinkAboutBuilding Permit Application Aug 0316 02:35p Wolf Airoonditioning 7724641127 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dates --4 — I: Permit Number:
th-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (M)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
-PROPOSED IMPROVEMENT-LOCATION:
Address: �
Legal Description:J:;%J T -elr_
Property Tax ID#3 Li Lot No.
Site Plan Name: Block No.-& 1),
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additionaiworktatienertormed under this permit-check an- .appy:-T—
[J HVAC GasTank []Gas Piping tiShutters E]Windows/Doors
F1Electric Plumbing ]Sprinklers 12 Generator Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:S Utilities:0 Sewer r lSeptic, Building Height:
OWNER
/LESSEE: CONTRACTOR:
Name Name:
Address: J�,o Dr Company. >
City-tA , V f,C, -C e -Stater Address:`3-75;r
Zip Cocle-TY Fax: City: Fc- -(-e- _State:J�_
Phone No.?-2,2 - :31A 9 -L-15-3 e1 Zip Code:3L/52f':)L - Fax:'77a- 4/6 .1102 7
E-Mail: Phone No.-27,;? - LJ v_
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License:C.AC
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
P
Aug O315U2:36p YVolfAkcunditioning '� 7724841127 p,3
SUPPLE M ENTAL'CONSTRUCTtON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: NotApplicable
Name: Name:
Address; Address:
City: State: City: —State:'
Zip: Phone: Zip: Phone:FEE SIMPLE TfTLE HOLDER: Not Applicabile BONDING COMPANY- Applicable Name: Name:Address: Address.City: City:Zip: Phone: Zip:_Phone:I certify that no work or installation has commenced priorto the issuance of a permit.St.Lucie!:ounty.makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conflict with any applicable Home Owners Ampation rules,bylaws or anscovenants 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 full concurrency review:room additions,accessory structures,swimming pools,fences,walls,signs,screen roams and accessory uses to another non-residential use WARNING TO OWNER:Your Wure to Record a Notice of Commencement may result in your payingtwice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite befor.e the first inspection. If you intend to obtain financin&consult vidth lender or an attorney before commencing work or recording your Notice of Commencement.�Wna!py0dFContractDrJUCense Holder On<of ownerl Lessee/Agent STATE OF FLORIDA STATE OF FLORIDA COUNTY Of— COUNTY OfThe forgoing instrument was ac�nowledged before me The forgoing instrume nt was acknowledged before me(Name of-person acknowledging) TName of pe-r6on acknowledging)(Signature of Notary Public- tate of Florida (Signature of Notary Public-State of Florida I Personally Known :70R Produced Identification Personally Known_��011 Produced Identification Type of Identification Produced Identification Produced MI MARTIN i Commission No. !ssion No.III)ic-State of TM ftwe-Sun 1h AV Revised 0711512014 wNwamombow AMA REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RENAEW DATE COMPLETE INITIALS