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HomeMy WebLinkAboutBuilding Permit Application ALLAPPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ot �- Permit Number. Building Permit Application Planning and Development Services Building and Code Regulation Division 230.6 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPRO:VEMENtLQCATI0N Address L-tQw Ln L tt j �� Legal Description:, Lt.,(.O� e.fl-G S E:;, -(�__ Property Tax ID#: '+C 5-qp P - t5m>U - C>C>o •-Co Lot No. Cy Site Plan Name: Block No. Project Name: Mil(e47 Setbacks Front Back: Right Side: Left-Side: -DETAILED DESCRIPTION-OFWORK: 3 '/a -rid i & v CONSTRUCI`ION=INFORMATION:. t lona wo a e orme under this permit—check a =apply: aVAC rl Gas Tank Gas Piping I _Shutters F�Windows/Doors Electric r Plumbing Sprinklers U Generator r �Roof Total Sq.Ft of Construction: S .Ft.of First Floor: Cost of Construction:$ CJo �d •G� Utilities-11 Septic Building Height: OWNER//LESSEE: CONTRACTOR Name Ga cia c rip- (m le-e Name: CRAIG CANTRELL Address: Q tz Company: AMTEK AIR CONDITIONING City: r*_ (+ f State:Fl. Address: 571 MERCANTILE PL#B-12 Zip Code: 9 81 Fax:—' City: PORT 5T.LUCIE State:FL Phone No. Otal— Zip Code: 34986 Fax: E-Mail: —~� Phone No. 772-801-3465 Fill in fee simple T1tle Bolder on next page(If different E-Mail: amtekac@gmai[.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. SUPPLEMENT% L CONSTRUCTION LIEN LAWrINPORMATION z DESIGNER/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: 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. , G�:Z21 -�—� —� Signatur of Owner/Agent/Lessee Signature of C ntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 4.�,case- COUNTY OF _ -1- L Adz — The forgoing instrument was acknowled ed before me The forgoing instru ent was acknowledged before me this day of Yp 20by this Chhday of 20©by .I'raf Get (Name of per acknowledging) (Name of pers cknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known � OR Produced Identification Personally Known ' OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. r�a� '�' —`'i .� ..�^� Commission No. ,�������,,, �q AH RUSSELL AH RUSSELL �� Notary pUtflic-State of Florida + Notary Public-State of Florida R! _ ;•_My Comm.Expires Nov 30,2018; VJ My LouliIIII.E. om -N." °o`c Commission# FF 179630 %rFof F4° Bonded through National Notary Assn. Revised 07/15/20 ;T �• 'SFO;,;°` Bonded through National Notary Assn. - ..s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED