HomeMy WebLinkAboutBuilding Permit Application 02118/2016 15:17 P.0021003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:a11fk)�G Permit Number: �6da-da4 4
• 4 10 0 RECEIVED FEB 18 2016
Building Permit Application
Planning and Development Services.
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL,34982
Phone:(772)462-1553 •Fax: (772)462-1578 Commercial XXX Residential
PERMIT APPLICATION FOR: Mechanlral
PROPOSED IMPROVEMENT LOCATION:
Address: 5255 S US Highway 1
Legal Description: 6255 S US Highway 9
Property Tax ID 3ya3-5aa 0413-4aLot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
HVAC change out only.- body shop
�-4
CONSTRUCTION INFORMATION:
zona wor o e e orme un er this permit—c ec a appy: .
❑✓ HVAC Gas Tank alias Plping _Shutters Windows/Doors
Electric PlumbingSprinklers Generator . Roof
Total Sq.Ft of Construction: •S .Ft.of First Floor:
'Cost of•Constructlon:$ 3950,00 'Utilities:Sewer 11 Septic building Height: '
OWNER/LESSEE: CONTRACTOR:
Name Gerber Ft Pierce Inc Name: Scott Camlre
Address:5255 S US Hwy 1 ' _ _ Company: AC Advantage Inc.
City: Ft Plerce State:FL Address: 1926 SW Biltmore St
Zip Code: 34982 Fax: City: PSLucie State:FI
Phone No.772-467-0835 Zip Code: 34884 Fax: 772-336-7866
E-Mail: Phone No, 772-3*7566 is
Fill In fee simple Title Holder on next page(if different E-Mail: csr@acadvantagainc.com
from the owner listed above) State or County License: CMC1249807
It value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
0211812016 15:18 (FAX) P.0031003
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: W 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 County makes no representation that is granting a permlt will allthorize the ermit holder to build the subject structure
which is in conflict with an yi cable Home Owners Association rules,bylaws qr ae Fcovenants that may,restrict or prohibit such'
structure.Please consult w t. your Home Owners Association and review your deed or 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 Recard a Notice of Commencement may result ir►'your paying twlee 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
c o m m e n n work or recordiniz vour Notice of Commencement.
5
_,SI nature o Owner/Lessee/Agent Slg lure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OFatLucia COUNTY OFsl-cla
The forgoing instrvziegqt was acknowledged,pJ�efore me The forgoing Instrument was acknowledged before me
this�� day of t CSD 20 Eby 'this j'Z day of Feb ,201 by
Scott Cedre SQOtt camva
(Name of person:ckn dging) (Name of person acknowledgin )
(Sig azure bf Nola .Public-Slate of Florida) ( gnatur• of Notary Public tate of Florida)
Personally Known Xxx ' OR Produced-identification Personally Known xx . OR Produced Identification
Type of Identification Produced Type of-identification Produced
Commission No. FF17= Aral" Commission No. FF112262 aqWt,
NO D'(
i IVgTARY PUBLICFLORIDA
RYPUBM
FLORIDACOMO FF17M
Revised 07/15/2014 Conwri§FF172 IEXPIPee 10/28/2018
11390M 10l
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER I'REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS