HomeMy WebLinkAboutBuilding Permit Application ALL`APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: C6 )( []22:7
�CEIVED
Building Permit Application 01
� 6
,
Planning and Development Services PERMITriNG
Building and Code Regulation Division St. Lucie County, FL
2306 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address•• ,_ C"Ac"41
Legal Description:\j lu('\P, �1�. �� ( i"rA--
' 1 C`p`l
Property Tax ID (7CFp�s;_k I—c>Ciz) Lot No.
Site Plan Name: Block No.
Project Name, Q7_ a nl
Setbacks Front Back: Right Side: Left Side:
DETAILED._DESCRIPTION;OF WORK:
CONSTRUCTION INFORMA-DON
iti : a Worktoe orme un er is permit-check a app y:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric Q Plumbing []Sprinklers F Generator Fl Roof
Total Sq.Ft of Construction:.1k S .Ft.of First Floor:
Cost of Construction:$ 1 Utilities. Sewer Septic Building Height:
OWNER/LESSEE. CONTRACTOR:
Name �n Name: CRAIG CANTRELL
Address: �iL �.—r�-l_ . {n1 Company: AMTEK AIR CONDITIONING
City (1 State:PL Address: 571 MERCANTILE PL#B-12
Zip Code: 1 Fax: -'-- City: PORT ST.LUCIE State:PL
Phone No. --- Zip Code: 34986 Fax:
E-Mail:. Phone No. 772-801-3465
Fill in fee simple Title Holder on next page{if different E-Mail: amtskiac@gmail.com
from the Owner listed above) State or County License: cacl816639
If value of construction Is$25W or more,a RECORDED Notice of commencement Is required.
St#pFLEMENTAL CONSTRklCT1QN 1 !EN LAW lNFORMAT1QNs
n
DESIGNER/ENGINEER: i 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:
OWNER/CONTRACTOR AFFIDVIT: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 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
commencing work or recording our Notice of Commencement.
Signatur of Owner/Agent/Lessee Signature of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � 11'C.G P COUNTY OF � L..c_ (14
The four ,ping instrument was acknowledged before me The fo oing instrument was acknowledged before me
tfiis ay of_� m c _,2Q by this ley of<= rt l 20�by
a l
(Name of per So acknowledging-) (Name of per o acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known V OR Produced Identification. Personally Known v/1"0i2 Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No, - al RUSCommission No. S I),a
'"ti'n�e,, DEBORAH SELL ,�avri�e,, DEBORAH RUSSELL
_•* * My Comm.Expires Nov 30,2018,' �.* * My Comm.Expires Nov 30,2018
Revised Q7/15/2 _^ Commission#FF 179630 �� F1��� Commission#FF 179630
MOM throunh N aiUnl hIrthry A— throligh hatinnni hint—, 7
REVIEWS FRONT rZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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