HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MV$T BE COMPUTED FOR APPLICATION TO BE ACCEPTED
Date: NOVEMBER 19,2015 Permit Number:
Building Permit Application
Planning and DevelopmentServfces
Ouddln9 and Crete l?egularfgn Pivlsion
2300 Vfrginiq Avenue,Fort Pierce*Ft,34982
Phone.(772)462-1.553 Fax:(772)462,1576 Cfl!`t'ICl grCIaI Residential�X,,,�,
PERMIT APPLICATION FOR: Mechanical
Address: "x836 TRAVELER$WAY
Leel Description: RaLM QRQVF.61D 13LK p LOT 28(0,12 AO)(PA 1116.144;4)
PropertyTaxlp##: lot No 28 �.
Site Plan Name: Bieck No.,0,,,,,,
iaro;sot Nv Me. CARR LEE MARCH
Setbacks Front---,, gaek: Right$Idw Left Side;
LIKE FOR LIKE AIG CHANCEOUT NO DUCT WORK
2.15T/14S SPLIT SYSTEM 8K rzLECTRIO MEAT
"In w"r aTeOrmooernr s per ee p y:HVAC s Tank Gas Piping Shutters Windows/boors
Electric Plumbing Sprinklers Generator Roof
Total 5q. Ft of Construction: Sq. Ft,of First Fl r:
Cost of Construction:$ 4530.00 Litilitlgs:OSewer USeptiq Building Height:
Name CARR LEE MARCH Name: JAMBS DEGATINA
Address:5836 TRAVE E.RS WAY Company: 41. AMERICAN AIR ELECTRIO
City: FT.PIERCE " state:F,1. Address: 611 NW MFkCANrII.B PLACE
Zip Code; 34982 Fax: City: PORT$T LUCi#s State:F ,�,
Phone No.321.28&0731 Zip Code: 14086 Fax: 772.87a-5144
is-Mari; Phone No. 772 }76�51A3
Fill in fee simple Title Molder on next page(if different E-Mail. 0RUF4 AfAEI.NO.00M
from the Owner listed above) State or County license: C,A0047965
rf value df construction ii 52500 err more,a IRECORDED Notice pi+lir encenient is required.
DESIGNER irNGINEER: Not A PIcab a MORTGAGE COMPANY: �Not Applicable
Dame: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip:� hrle;
FEE SIMPLE TITLE HUIDER; �. Not Applicable l�t�INDING�MPANY: Not Applicable
Name: Name: ,-
Address: Address;
city: City:
Zip, Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
St.Lucie coun#y makes nq represe #aatlon that is granttn a�aermit will.uthorize the nett hglder to build the subject structure
which is In conflict with any APlkcale lt4rne Own rs Asoc.atlon uIe , ylawst�ran cotenants thpt may restrict or prohibit such
structure.Please consult wit,your Home owners Vs,$ociat{on ar,c_rev��w your q�eed ar any restrictions which may apply,
in consideration of the granting of this requested permit,Ido 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 roams and accessory uses to another non-resldential use
WARNING TO OWNER:Your failure to Record a Notice of t~ommen+cement 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 flnencing,consult with lender or an attorney before
commencing work or re ordin our otice of Commencement,
s
Slgnat wn r/Lessee/Agee# SiBnat, ac#or : cerise a der
STATE OF FLA STATE OF FLORIDA
COUNTY OFM' COUNTY OF
The for oing instrument was acknowledged beforo me The fing instrument was acknowledged before me
this day of r i r X01'!!—by thisday of G ..,..,, Q ,by
{Name of person acknowl ing) (Name of person ackno ledging)
gnature of Notary Publi/ic- tate of F(orida) Slgnatur+e of Notary Public-State of Florida)
Personally Known Le OR Produced Identification Personally Known- OR Produced Identification
Type of Identification Prod. a of Identification Produced """""'1"'""'"~�
r� GERl 1 CALHOUN �� ��- �ac•Some�FkHlda
Commission Na 1' W&V -State of Ftcrl mmissic' No. aloe#*FF 912591
• COMMI Me#FF 912591 ,t+ ` M)Corrim.Emires Oct 0.2019
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Rgvised 07/15/ZOl -
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