HomeMy WebLinkAboutBuilding Permit Application Dec. 14. 2015— 8: 14AM Barker Air Condition 1125625340 No- 4854—P. 1
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RECEIVED
Planning&Development Services
Building.&Code Regulations Division DEC 14 2015
2300 Virg Wa Ave.
Fort Pierce,FY,34982 PERMITTING
(772)462-1553 St. Lucie County, FL
SPECIALTY PERMIT APPLICATION
4 Electrical ❑ Plumbing 16SVA.0 D Fence
❑ Sued CI Demolition C] Gas ❑ Siding
See page,2for instruedons and additional paperwork required for specialty permits
x. Location/Site
2. Parcel ID Number: 114 ZLf - 50 2• • 00- d 0& L4
Towuhip Rnge Map Page Zoning Land Use initials
Offleg Use Sectlon
Only
3. Complete Description of Project or Work: v
nc± 1 -rn 67'ti
4. Owners Information 5. Contractors Xnformation ` l
Name: -�J�P�LIl�l�. )~Z)CZeg/Cert#:
Address: 2577_12) 'C:_&Qtb t S1Xg V%W df County Cert#:
City: State: EL
Business Name-.
Zip: Phone: Pho�iaZ: Fix.:]71 • ��G�•.�c�"C�.J
6. Value of Construction:$
o3vWmn,s AFFIDAvrr: Y certify drat all of the information contained in on is 811 Wor 'be done in
compliance with all applicable laws regula' on
�. �. �G
huNT OWNER OR CO�ORN'ANM SI() A 0 0 OR CO
STATB OF FLORIDA,COUNTY OF IN44 A.d
ACKNOWLEDUED BEFORE ME TIMS DAY OFbUz '0 20 i BY E 1�` /"n'�K r($
WHO IS PERSONALLY KNOWNTO NE V OR WHO HAS PRODUCED - -
ASID CA N.
/ r/Cf�+n% �\ /�my/ - WM
SIGN URIs OF NOTARY TYPB OR PRINT NAME OF NOTARY EXP) • '
C SION NM&ER
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROyXNMgTs TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR.
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMNNT.
EREIvTm;A1C-HEAT REPLACEMENT WIT IT CONTRACT UNDER$7500.00
Revised 04126/2016