HomeMy WebLinkAboutBuilding Permit Application 09/15/2015 07:20 7724612036 STEVE SMITH AC PAGE 02/03
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ALL APPLICABLE INF9 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lr�S Permit Number:
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MEI` ED SEP 152015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34952
Phone: (772)462-3553 Fax:(772)462-1578 Commercial ResidentiTI X
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PERMIT APPLICATION FOR: To Select from dropbox, click here
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Address: �'/ /7 /�fp /(O�✓
Legal Description: �c C r �' �1o/
Property Tax ID#: Lot No.
Site Plan Name: II Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: j
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Replace existing air handier and condenser with like air handier and condenser
Ton, SEER, Straight Cool kW heater
Additional worKto De perrormed underthis permit—Ch""
eC a appy:
HVAC O Gas'Tank F]Gas Piping _Shutters a WI dows/Doors
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Electric Plumbing OSprinklers [ Generator 1:1Roof
`total Sq.Ft of Construction: �f/t/� S .Ft.of First Floor: '
Cost of Construction:$ J�G-�J Utilities: Sewer Septic Build'I g Height:
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Name i4 l�ir Name: Steve Smith j
Address: 71Z ��rr�ry /�� Company: Steve Smith Air Condtl ping
City: /4� State'PL Address: 8004 Eden Rd j
Zip Code: Fax City: Fart Pierce Stat: L
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Phone No. 6� '��--�� 7 Zip Code: 34954 Fa • 772 461-203
E-Mail: Phone No. 772 464-1425
Fill in fee simple Title Holder on next page(if different E-Mail: stevesmithac@aol.com
from the Owner listed above) State or County License: CAC1813454 200.1
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if value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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09/15/2015 87:20 7724612036 STEVE SMITH AO PAGE 03/03
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DESIGNER/Eh Not Applicable MORTGAGE C OMPANY: Not Appi c�blej
Name-, Name:
Address- Address:
City: State: City: St
zip: Phone: Zip- Phone- I ale
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: Ca
Address: Address-
aty. city!
Zip: Phone: Zip- Phone.
I certify that no wo rk or instailation has cornmenced,prior to the issuance of a permit.
St.Lucie Cou" makes no representation that Is granting a permit will authorlie the permit holder to buili I the subject stir cture
which is in coSict with any applicable Home Owners As9oc a tion rules,bylaws or and covenan s t at ma trict or pro it st ch
structure.Please consult with your Home Owners Association and review your deed for any ions w ich may appl�'
Inconsideration of the granting of this requested permit,I do hereby agree that I will,In all respects,perff irm 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 undergo4ng a full concurrency review:room ai Iditions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential us
A res lb
WARNING TO OWNER:Your bilure to Record a Notice of Commencement may result in you,payingr twic or
improvements to your property.A Notice of Commencement must be recorded and pos ed on the j6 site
before the first inspection. I you intend to obtain financing,consult with lender or an anorney befoi
commencing work or remding your Notice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The feMoing instrument was acknowledged before me The forgoing instrument was acknowledsed before e
this day of, 20 JS-by this_-0, day of �0 by
(Name of person acknowledging) (Name Q_f person acknowledging)
or
(Signature of Notary Public-State of Florida (Signature of Notary Public-Stat eof odda
Personally Known OR Produced Identification Personally Known OR Produc Ideritificatid
Type of Identification Produced— Type of identification Produced
Commission No.
Revised 07/15/2014 Enllm&I Tim 19 Cam*F
REVIEWS FRONT ZONING SUPEiVISOR PLANS VEGETATION SEA69TLE M E
COUNTER REVIEW REVIEW REVIEW RWIEW
REVIEW
PATE
COMPLETE
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