HomeMy WebLinkAboutBuilding Permit Application Aug 121G1O:48e VVolfAkoonditioning 7724641127 p.2
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0,<
Building Permit Application RECEIVED
Planning and Development Services AUG 12 2015
Budding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34992
Phone:(772�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: _11
PropertVTaxlD#J3__39 __tZl Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:,
CO NSTRUCTIONJIN FORMATION:
Additional rktobenerformed unaer this permit—check a- apoly:
ElElectric n Plumbing FiSprinklers, Generator Roof
Total Sq.Ft of Construction: SQ.Ft-of First Floor:
Cost of Construction: -3 Utilities:OSewer R Septic Building Height:
OWNER/LES�S81i: CONTRACTOR:
E-Mail: Phone qc�q
Fill in fee simple Title Holder on next page(if disfferent E-Maii:()CLL_ C__J
from the Owner listed above) State or County License: C 4C�C'-\:5&5�
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Aug 121510:48a Wolf Airconditioning 7724641127 p.3
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 TITLEHOLDER: _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 permitwill authorize the permit holderto 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 1 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 lie'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 our Notice of Commencement.
s
Si Owner/Lessee/Agent na ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 — = L COUNW OF
The fo oing instrument was.acknowledged before me The forgoing instrument was acjmowledged before me
this day of 21) 1,:�Eby this_�3_dayof 20 I.5 by
r r c
(Name o erson acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known . OR Produced Identification Personally Known
Type of identification Pro a of Identification Pr u 1
.ft"ry/Pak-StW of 1FI0M
yqatl�y Ptrtlk-IItW 01 mission No. C4ftWilon i FF 21MI
Commission No. ls�$NrMaiyoa OFF 21MI
Icy Cori.Expires Alpr S,10• My Comm.Expires Apr S.2019
9tlragA NitlortalNafry Mn
Weledilledul
Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS