HomeMy WebLinkAboutBuilding Permit Application 08/10/2015 07:31 7724612036 STEVE SMITH AC PAGE 02/03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application I I I
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Planning and Development Services AUG 1 I
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of ti e
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1,01 WA
Address:
Legal Desicription: Z,7 1�14,Mxl za/ &
Property Tax lD#: Lot No, 16'1'
Site Plan Name:. Block No. WIV
Project Name:
Setbacks Front Back: Right Side: Left Side.
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M4 1, --I wor toartormed uncierlfiispermit—ChecKaiit=app iy:
HVAC Gas TankDoors
DGas Piping LJ Shutters Win ows/
FlElectric Plumbing FSprinklers Generator Roof
Total Sq.Ft of Construction: 19ra SQ.Ft,of First Floor:
Cost of Construction:$ Utilities: SewerSepticBui[4 g Height:
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Name
Name, Steve Smith
Address: 3%1!�' 614�411_ _1411- Company: Steve Smith Air Conditioning
City: State: /Z Address- 8001 Eden Rd
Zip Code:.JW-r/ Fax: City; Fort Pierce Stater .
Phone No, 77-?— YSC� Zip Code: 34951 Fa 772 461-2030
E-Mail: Phone No. 772 461-1425
Fill in fee simple Title Holder on next page If different E-Mail- -stevosmthac@aol.com -
from the Owner listed above) State or County License: CAC18045420071
If value of construction is$2500 or more,a RECORDED Notice of Commemaement Is require
08/10/2015 07:31 7724612036 STEVE SMITH AC PAGE 03/03
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DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: I Not Applicabl6
Name: Name: I
Address: Address:
City: Stater City: I State:
Zip: Phone: Zip: Phone: I _
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: I Not Applicabl6
Name: Name: i
Address: Address: C �T
City: city: I
Zip: Phone: Zip: Phone:_
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1 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 st uctu�re
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or pro�ibit�uch
structure.Please'consult with your Home Owners Association and review your deed for any restrictions `hich may applyl
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. i
The following building permit applications are exempt from undergoing a full concurrency review-room dditions,
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accessory structures,swimming pools,fences,walls,signs,screen roams and accessory uses to another on-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In ya r paying twice for !
improvements to your property,A Notice of Commencement must be recorded and potted on the jobslto
before the first inspection. If you intend to obtain financing,consult with lender or an axtorney befor
commencingrlc or re din our Notice of Commencement.
Signature of weer/Lessee/Agent Signature of co tractor license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo Ding instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this T day of JU.DL 20 J_J by this day of 'WA'L ,20 by j !
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Londa)
Personally Known_- OR Produced Identification_ Personally Known _OR Produced identifications
Type of Identification Produced Type of Identification Produced
Commission No: f2� PUBLIC Nk**I"
t4IFTATIE
��OR isslon No. (Seal)
OF KOR VA NOTARY PILI uc
4202 STA'L'E OF FLORIDA
Revised 07/15/2014 EVVaa F017=19 catxr#FF�34202
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAITURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW R VIEW REVIEW
DATE j
COMPLETE
INITIALS
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