HomeMy WebLinkAboutBuilding Permit Application Nov 04 2015 04.46PM WOLF AIR CONDITIONING INC 772-464-1127 page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEFrED _
Date: Permit Number: l ja
a
Building Permit Application
Planning and Oevekp nest Servkes
Building and Code Regulation Divlsian
2300 Virginia Avenge,fort Pierre 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
Address:
Legal Description:
Property Tax ID#-42i `i 0CX) G:1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
7
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Additional woric to be nPr1ormed- under is perm -c eck all t=appy:"
❑HVAC Gas Tank ❑Cas Piping Shutters ❑Windows/Doors
Electric Q Plumbing ❑Sprinklers Generator Roof
Total Sq...Ft of Construction: SO.Ft.of First Floor:
Cost of Construction:$ "-[f C; U Utilities.M Sewer O Septic Building Height:
` .• }f�':a''.�t r ,.,a .y t
�' :D5. •''�'. let. z. i, x .. s..!r ..s.[ w+' '
Name M Name:
Address: L S • n �, 6' Company:
City: � -e rc-e state: Addres:3 7
Zip Code-3 Fan: City: CC le
f St7
Phone No. 97 `rS' Zip Cade: V�?�"�- Fax:
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E-Mail: Phone No.�` `Y•-
Fill in fee simple Tide Holder on next page(if different E-Mail: {.vF� t:. �' rt 1� `'
from the Owner listed above) State or County License: 513 6,
if value of construction Is$25110 or more,a RECORDED Notice c Commenoament is required.
Nov 04 2015 04,46PM WOLF AIR CONDITIONING INC 772-464-1127 page 2
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DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address' Address:
City: State' City: _-State:
Zip: Phone: Zip: Phone:
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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 III authorize the permit holder to build the subject structure
which is In conflict with anyY a�pplicable Home Own=== rales,bylaws or aD covenants that may restrict or prohibit such
structure.Please consult w7th your Home Owners Association and review your d0d 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
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
commencinff worts or recordina Your Notice of Commencement
nature of Owner/Lessee/Agent re of Contractor License Holder
STATE OF FLORIDA STATE OF FLORI.A
COUNTY OF Sr c.c r COUNTY OF `4
The fo oing instrument was acknowledged before me The forgoing instrument wps acknowledged before me
this ��' day of A&y.-w, ter- , 20 1!6y this `„�i�day of AA,of^ <' 20�by
(flame o person acknowledging) {Name of rson acknowledging)
"t� i ';22�_ -
(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 Produced Identification Produced
MIKE MIKE MARTIN
Commission No. )-Notwy Pubk-Stmt ion No. I)IOWY Public-Side
• CommMsion+f FF 10l3f • Commisslon i FF 21 1
My Con.Epirts A 5.2010 M Comm.E iron A r 2012
Bofldldthd�f ttt,t! 8a111dtlra lien" Am.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS