HomeMy WebLinkAboutBuilding Permit Application Nov 02 2015 09:20AM WOLF AIR CONDITIONING INC 772-464-1127 page 2
ALLAPPUCAB INFO U/ST OMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number: 6 l
Building Permit Application
Planning and Development Services
Building and Code Regulation Divabn
2300 Vlrginla Avenue,Fort Pierce Ft 34982
Phone:(T72)462-1553 Fax:(772)462-1578 Commercial. Residential ,"
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Y�
Address:
Y
Legal Description: VY-C (_0J
v
Property Tax ID#; W11 11 &>Q- Lot No.. Lr
Site Plan Name: Block No.
Project Name:
Setbacks. Front Back: Right Side: Left Side:
T
8` Kv
MINIMUMx,. �
Additionallworl(Mborformedunderthis perms -check all flapply:
OHVAC Gas Tank ❑Cas Piping _Shutters Q Windows/Doors
C3Electric OPlumbing Sprinklers 0-Generator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor.
Cost of construction:$ 3 3 c1 Utilities:0 Sewer 11 Septic Building Height:
z�. w-zt
Name o o.U ype5 Name: '►
Address:`�$3D '� Company: �., •
City: 5ye<,,n State:e1:E_ Address:
Zip Code: ''1 Fax: City: C-ce e State:
Phone No.7 7 - Zip Code: lSA Fax:
E-Mail: Phone No. '7 - L& — g
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:e•Q C 3 G �—
If Value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
Oct 27 2015 12:41 PM WOLF AIR CONDITIONING INC 772-464-1127 page 3
� N
ay xs Ji.47Mj
RX
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 therrnit holder to build the subject y�ructure
which is in conflict with any applicable Home Owners Association rules,bylaws or ant nants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed 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 Retard a Notice of Commencement may result In your paying 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
commencina work or recording our Notice of Commencement.
s
S' etdre of Owner/Lessee/Agent Contractor License Holder
STATE OF FLORII? STATE OF FLORIDA �� .t
COUNTY OF �� - �4 c -{ COUNTY OF 5
The forgoing instrumerlt wip acknowledged before me The forgoing instrume t as acknowledged before me
this dry of � +r 20 J.1-1y this day of r' 20 J.:`by
(Name of rerson acknowledging) (Name of person acknowledging)
d Y-J D _ _
(Signature of Notary Public:State of Florida) (Signature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known &,--'OR Produced Identification
Type of Identification P e of identification Pro ced
iiOW IioI(IM NIKE NAII'tIM.
Commission No. *e*/ri*-ft t M mission No. ! .its d Fbft
• Conanisslow 0 fF 210041 Corinnitllo�I Ff 210!61
ib comm,F1Wrn AW S. 0
Oaidrd rKoes�Nrelotel Natrtlr Apn. R; Oaidad gfroupi Nrliad terry
Revised 07/15/2014 ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS