HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE'INFO MUST BE COMPLETED FOR
- AA TO BE ACCEPTED
Date. Permit Number: s
eieirrwu.
Building Permit Application
Planning and Development Services
Building.and Cade Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Rhone:(772)462-1553. Fails(772).462=2579 Commercial Residential
PERMIT APPLICATION.FOR: Mechanical
P, PO SEQAMPRa1%EMENT._LOCATIt�tU'
AdtlressrOo '1 rn
Legal.Description:
Property Tax ID# 314-7:: cco Lot-No.
Site Plan Name: r?f?l? `~ O 5 ;'f{ L 4 Bock IUo.
Project Name: {. tr 0�2
Setbacks Front Back: Right Side: Left Side:
Q
SET I ED,DESCRIPTION OF WOW
ka& def la-Ceov_of 14
CONSTRUCTION INFORMATION
AddMitional vuo, tate Orme un;er.. ,s,perm.i —c ec a .apply: _
F1 AC Gas Tank ❑Gas Piping; Shutters Windows/Poars
Electric 'P,lumbing Spr skiers: flGenerator Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 49 •'c3 utilities: Sewer Septic Building Height:
flUVt�ER ES-EE Gfl 1`RACi'OR•
Name_-, w1'-�:� C �,t e;'CRAIG CANTRELL ,
Addr srC `i� .. � - mpany:
AMTEK AIR CONDITIONING
FL 571 MERCANTILE PL.#B-12
City State:_ Address:
Zip Cade: City, PORT ST.LU.CIE State:fIL
^y;°=c�^ —
Phone No. Zip Code 34986-
Fax:
E.;Mail: Phone Flo. 772-801=3465'
Fill In fee simple Title Holder on next..page(If different E-Mail arntekac@grnail.com -
from the Owner listed above) State or County_License:
cac1816639
if value of construction is$2500 or more,:a RECORDED Notice of Commencement;Is.required.
SUpPl.EMENTAL'CC)'NSTRl1CT10N LIEN LAW INl`ORMATIOSN;f
DESIGNER/ENGINEER. Not Applicable MORTGAGE COMPANY: —Not Applicable .
Name: Name:
Address: Address
City: State: City: Stater
Zip: Phone:, 'Zip: Phone•.
FEESIMPLE TITLE.HOLDER:: _Not Applicable BONDIING.COMPANY: Not Applicable
Name• Name:
Address: Address: .
City: City:
Zip:: Phone:
zip: ,Phone:
OWNER/CONTRACTOR AFF#DVIT:Application is.hereby:made to obtain a permit to do the work and installation as indicated.
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 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 Home Owners Association and review your deed for any restrictions which-may apply.
In considerationof the granting-of this.requested permit,-1 do hereby agree that'iwill,in allrespects',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;roomadditions,
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
commencing work or recording. our Notice of Commencement.
Signatur of Owner/Agent/Lessee Signature of Cq�ntractor/license Holder
-STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S •LLzrCOUNTY OF �c�� P
The forgoing instrument was acknowled ed before me The.forgoing instrument was acknowledged before me
this 10'day of ,2Qby this
�.day of t r%( 2011' by
00" z.r t
(Mame of p6tsjn acknowledging) �w (Name of per.' acknowledging)
(Signature of Notary.Public State:of Florida j (Signature of Notary Public-state of Florida j
Personally Known '✓ OR Produced Identification Personally Known„ / OR Produced Identification
Type of Identifikation R . c, _ Type of Identification Produced
:
y DEBORAH RUSSELL
,� s Commission.N ,,, r1EBORAH oeaQ-L
Commission Na
° arU��:, Not���bliC-State of Florida �, •`a��r"�eT ;(
My Comm.Expires Nov 30,2011,',, Notary Public State of Florida
x lies Nov 30,2018 t
°r i Lq��� Bonded through Nacional Notary Assn. j %;�.,1 ` .� Commission#FF 179630
RYI5et3 07/1$l2014Bonded through National Notary Assn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW-
DATE
RECEIVED
DATE
COMPLETED
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