HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/2#115 Permit Number:
RECE]!'rD AUG 2 8 2015
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: To Select from dropbox, click here
PROPOSED IMPR"OVEMENT tOCATIQN
Address: 1106 W JOY LANE
Legal Description: AVON MANOR
Property Tax ID#: 2303-610-0016-000-4 Lot No.16
Site Plan Name: JAMIE VOSKOVITCH Block No. A
Project Name:
Setbacks Front Back: Right Side: Left.Side:
DETAILED DESCR'IPT(ON�,` F WORK
A/C CHANGE OUT OF A RUUD 3.5 TON SEER 13 KW 7.5
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CONSTRU IDN IN,FORNIATION ,
iti a wor to e e orme un er this permit—check a appy:
HVAC Gas Tank Gas Piping 17I_Shutters Q Windows/Doors
_Electric 0 Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3500 Utilities:Sewer Septic Building Height:
OWNER/LESSkEE4 , �8 ONTRACTOR r
q., .
Name WELLS FARGO BANK NA Name: THOMAS A.SMITH
Address:5024 PARKWAY PLAZA BLVD Company: ALL YEAR COOLING &HEATING
City: CHARLOTTE State:NC Address: 1345 NE 4 AVE
Zip Code: 28217 Fax: City: FORT LAUDERDALE State.FL
Phone No. Zip Code: 33304 Fax: 954 667-1290
E-Mail: Phone No. 954 566-4644
Fill in fee simple Title Holder on next page (if different E-Mail: DDANIELS@AYCAIR.COM
from the Owner listed above) State or County License: CAC058159
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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:
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
improve ents to your property. A Notice of Commencement must be recorded and posted on the jobsite
before t Ie first inspection. If you intend to obtain financing, consult with lender or ttorney before
comme cin Work or recording our Notice of Commencemen
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Si a u e of Owner/Lessee/Agent Signature of Contractor/License Holder
STAT F FLORIDA STATE OF FLORIDA
CO U NTY OF SAINT LUCIE CO U NTY OF BRowARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 24 day of AUGUST 20 15 by this 4 day of AUGUST 20 15 by
DIMITRIUS DANIkS DIMITRIUS DANIELS
(Name of person acknowledging) (Name of perso ngqJ
)
q.
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known .• R;;�jgda teh/II dJ ntI I atlon Personally Known—
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nown Type of Identification P °c `�' IUSc`A DA-SWCS Type of Identificatiot pro e i ,,,,,,.MM15SI0N ....F._..._
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EXPIFfE3er 30 2018
Commission No. °•' orn " EXPIIpctober30,2018 Commission No. ( �a
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(407 398-0153 Floridallotar0ervice,com -- - --- ---- --
Revised 07/15/2014
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