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HomeMy WebLinkAboutBuilding Permit Application Nov 181510:28a Honest Air, Inc. 772-232-1118 PA ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Dumber. - ` 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)462-157.8 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: .0 ) , J 604 , ':)J-' —1411C Legal Description: V j; -" u1 l .� Property Tax ID#: 3iq i q Ji 00, 0_00 " Lot No. Site Plan Name: . `'� s 14 1,y _ Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION'OF WORK: . �olfill /0 rid AS4qR�R CONSTRUCTION INFORMATION: ,iona wor e to e arms under t is perms —c ec a appy: Lr!HVAC Gas Tank ©Gas Piping Shutters Q4Vindows/(doors DElectric Pluming Sprinklers L_I Generator Q Roof Total Sq. Ft of Constructia SQ.Ft.of First Floor: Cost of Construction:$ ,) ;(J Utilities:0Sewer Oleptic Building Height: OWNER/LESSEE: CONTRACTOR: (Name r / Name: Address- :1E ddress• �State: Company r•!Lr Address: 3 q7 :.1 A�t.� N-c"e "ele Zip Code: �'�I S Fax: y City .�� State: AL Phone No. _2`7. V Z - l Zip Code: S�19�'+:.-' Fax:7/2• 3 E-Mail: Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: 7 a _ f u '' ' �.' , X 16-7— from 16-``from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. Nov 181510;28a Honest Air, Inc. 772-232-1118 p.2 SUPPLEMENTAL CONSTRUCTION LIEN LAVH INFORMAT.JON:. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone-.' I certify that no work or installation fias 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 Rome 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 wiSi,in all respects, perform the work in accordance with the approved pians,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 commencin work or reeord' our Notice Vf Commencement. J 0 r 40,-e L, a (r A ✓ _ Signature of Owner/Lessee/Agen Signature dF Contractor/License 1-1olpi STATE OF FLORIDA ! r STATE OF FLORIDA COUNTY OF � ` �` COUNTY OF The forgoing instrument was acknowledged before me Thefor ping instrument Wacknowledged before me this day of 4ze, . 20 Eby this day of .10i1 20 /5 by Alrto (Name of person acknowledging) (Name of persona edging) (Signature of Notary Pt�:-Prcd[icecl ate of Flori a (Signature of Nota ublic-State of Florida) Personally KnownIdentification Personally Kno / roduced Identification Type of Identification Produced Type of Identification Produced 2 Commission No. � j Commission No. :�t�113 (Seal) "air" •w CHR1 WO DBERRY = Commission ft FF 908943 �.. CHRIS WOODBERRY Expires August , =•: mmission#FF 908943 Revised 07/15/2014 rf..h''' go-Aad MT:cyFainh.umc�909365•�Dig h R`? Expires August 12,2019 8mded Tin Ty Fahr lmnm,9=857019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I N ITIALS