HomeMy WebLinkAboutBuilding Permit Application Jan 05 2016 10:43AM WOLF AIR CONDITIONING INC 772-464-1127 page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date• 18 t i;, Permit Number:
w�
R E C E JA "05 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Wrgiala Avenue,Fort Pierce FL 34.982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from droptox, dick arrow at the end of line C
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Address• 1J 1c--,Q
Legal Description:
Property Tax ID#:�!��� "0�3 t�. - pcx `j ( ~ (D(L'3 - G Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work o e rme u er t isperm -c e a app y: J^
❑HVAC Gas Tank Gas Piping _Shutters Windows Doors
❑ a
Electric 0 Plumbing ❑Sprinklers E Generator 1.Roof
Total Sq.Ft of Construction: S .FL of First Floor:
Cost of Construction:$ L� �f Utilitles:t Sewer 0 Septic Building Height:
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Name Name: c�
Add /ri Company: VtiCJ 14 4",c— e-'cyd
City: _ L c tt State: i�l- Address:3'21&- O/&,,z .,r- 4.11
Zip Code: 3�i 9 R-1 Fax: City: i P ' ,..tr t State:,/_=_-C
Phone No. Yip Code: 3 -( Fax: 4-1c 4'- (/.� -
E-Mall: Phone No.
LLVaue
ple Tide Holder an next page(if different E-Mail: �/� r fry.-z �.-;-�.,
ner listed above) State or County license: l tp
stmetlon Is$2500 or more,a REGARDED Notice of Commencement 6 required.
Jan 05 2016 10:43AM WOLF AIR CONDITIONING INC 772-464-1127 page 2
DESIGN ENGINEER: Not Applicable MORTGAGE COMPANY: . Not Applicable
Name- Name:
Address: Address:
City: State: City: State;
Zip: Phone: Zip: Phone:
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 CounLt��makes no representation that Isgra a ermit III authorize therirani
holder to build the subject structure
which is in 55onftictwith an,applicable Horne owners Association rules,bylaws ,ranants that may,restrict or prohibit such
structure.Please consult w t your Home Owners Association and review your deed 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
commencina work or recordiniz vour Notice of Commencement.
nature of Owner/Lessee/Agent SI of Contractor License Holder
STATE OF FLORI STATE OF FLORIDA r
COUNTYOF - �c e COUNTY OF 5 A,, . L--C
Theft Ing instrument was acknowledged before me The fog ng instrument was acknowledged before me
this day of :Y-!=M�. r- i- . 20 t(' sy this�day of ,1i•� ,20 i o by
{Name of perron acknowledging) {Name of pg&n acknowledging)
Lt'Lz M�tx n�121
(Signature of Notary Public-'"State of Florida) {Signature of Notary Public State of Florida)
Personally Known !/ QR Produced Identification Personally Knowni OR Produced Identification
Type of identification Produced T e roduced
;M
Commission No. (� (Seal)
•FF 2ififisl
I Am
Revised 47/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS