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HomeMy WebLinkAboutBuilding Permit Application 0812012015 16:24 RANGER AIR CONDITIONING 0:9772 546 0322 P.0011003 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 a I 1 5 Permit Number;. RECEIVED AUG 212015 Building Permit Application Planning and Development Services Building and Code Regularlon Division 2800 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential +/" PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line c P ..W .l .i�_ K ,rr W HY .' r%Ey J•.•.I+.�` H :I..Y•`:� d ,T (!!�`: ,!1 ',, xi:J�• � 'r. S M.ENT';40CA7ON.t;,,: 1.r � ,I :r , r,,,:4 P Address:aa5q _FUrr_0=A L . Legal Description; W ldc war- rs �3l D LC)t s2 (QR )502- 2L2>1 - Property Tax ID#:44-No-61 D- COM2 Lot No. Site Pian Name: Block No. Project Name:--- Setbacks Front Back: Right Side: Left Side: k D V T V idS• , t . ! tYe1•t:t ' G• l•��1,' Li KC I'l Ke A IC. Com' SNSMms Sy 1 rn I i�5.15 sJecr, 6 -tin, 10 V--vv ;V ,l�ib1A�N ikc.' �hC „o.�� :,. .,,. ,• •y., ,h n� '{ ,1 .-4. off"; t )l+ Additional war oforme under is perms -c ec a appy: HVAC 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric IJ Plumbing Sprinklers Generator ❑Roof Total Sq. Ft of Construction: S . Ft,of First Floor: Cost of Construction:$ � � Utilities:ll Sewer OSeptic Building Height: Name l` Name- Address: Nvv Company: cy city: 11 i'Yl X : {= 111! State-, Address: Zip Code: -3L4aQ© Fax: City:b.—tcn State:FL Phone No. 0-12- 283Zip Code: ?2131_f5l) Fax:( 7���.3�-•1lIY(��� E-Mail: Phone No, (-T� � 5LA Fill in fee simple Title Holder on next page(If different E-Mail• l i from the Owner listed above) State or County License: If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required. 0812012015 16:24 RANGER Alit CONDITIONING TAX)772 546 0322 P.0021003 Aug 20 15 03:28p Frank Swygert 7722$30899 P.1 4 DESIGNS NGINEER: Not Applicable MORTGAGE COMPANY: -ANot Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TME HOLDER: Not Applicable BONDING COMPANY: /Not Applicable Name: Name: Address: Address: City; City. Zip: Phone: Zip: Phone- s certify that no work or instailatlon has commenced prior to the issuance of a permit. S (�,,uucie County makes no repr�esgentation that is granting a Permit will authorize the permit holdelr to build the subject structure w lch is in nfiict with an v Applicable Nome Civuners Association rules,byt8�ws or and covenants that may rQ�t rice or prs�hibit such structure.Fuse consult w7th your Nome Owners Association and review your deed for any restrictions which may apply. In consideration ofthe granting of this requeisted permit.I do hereby agree that I will,in all respects,perform the work in accordance wits tete approved plans,the Florida Building Codes and st Lurie County Amendments, The fallowing building permit applications are exempt frons undergoing a full concurrency review:room additions. accessory structures,Swimming pools,fences,walls,signs,screen rooms and accessary uses to another non•resklential use WARNING TO OWNER:Your failure to Rescird a Notice of Commencement may result in your pairing twice for improvements to your property.A Notice of Commencement must be recorded and posted on the Jobsite before the first inspection.if you Intend to obtain financing,consult with lender or an attorney before commencing work or recording our Notre of Commencement. sivoture at Owner]�easeelAgent tore of Contrattarjti�sns e!ttol er STATEOF 121.01221L �� A COUNTY QP0 COUNTY Ob :b The instr ;;e�� 6 a owlet efora me The f Ing t me was a asir[edged before me this day of X31 20$ d by this "ay at � ' �o by Fy AnfNz Ad CJS nrer (Name of person ac owlet (Name of person acknowledgiQ (0 (Signature of No Public-State a a (Signature of Nola Public State of FI rias Personally Known�,,r QR Produan�� Personally Known I It Pro dree-d itffth Type of Identifie atlon Produced z��t err Type of Identill-m it oduced,_.'_ •'' ;y"•• ,��• �r CommiWon No. !� . re, . Cammission 162 4FFOW498 � ""' ' �• •�` Rcvised 07115/2014 ��: � `�•�'a'x ��■•'��` f�•r" BAtd�llll`ti • ///h 'wastella��.•"��t\v REVIEWS FRONT ZONii•i�14ill1" VISOR Pi.�KNS VEIsETAT1QN SEATUIi7tE ROVE COUNTER REVIEW RMEW, REVIEW REVIEW REVIEW REVIEW DATE COMPLETE lNITlALS