HomeMy WebLinkAboutBuilding Permit Application 02/17/2016 15:50 5614932701 ECM PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rN.
Date:, ' �� Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Ofvision
2300 Virginia Avonue,Fort Pierce FL 34982
Phone: (772)467-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: g�ILP OVA`e t-z..AZ f P1 ace
Legal Description: PDV 33
Property Tax ID#: 3 ' •COI •00os Lot No. 5
Site Plan Name: CLV aA / XI'e Block No.
Project Name: J QJA to l
Setbacks Front Back: Right Side: Left Side:
I
LIKE FOR LIKE A/C CHANGE OUT L�MVIM 5--iOvl 15&"Y- qKu) Iiftry aLm>A
Act c4K,S�uH Ow
C A XV 14-DC7
q i ,
AdditionalwDr toAloer'nC un er t is permit,check all tftat appy:
❑_HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers I Generator 1:1 Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:_
Cost of Construction:$ _W(J Utilities; DSewer DSeptic Building Height:
IN
Name 1CG+,.E.tIQ03 , 'k-w��ice- Name:--JOSE RAMIREZ
Address:$ lLp 00e_L PlaCe Company: EAST COAST MECHANICAL
City.:_ j9 E uL te- State:FL Address: 1500 N HIGH RIDGE RD
Zip Code: '3!F,{_$Lo Fax: City: I30YNTON BEACH. State:EL
Phone No. 1 (P iA'�O� _ Zip Code: 3342-6 Fax: (561)493-2701
E-Mail: Phone No. (561)586'3739_EXT_2020
Fill in fee simple Title Halder on next page(if different E-Mail: PERMITS�CMSERVICE,C:OM
from the owner listed above) State or County License: CAC036812
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
J
I
82/17/2016 15:50 5614933701 ECM
PAGE 05
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.,DESIGNER/ENGINEER: —NotApplicable MORTGAGE COMPANY: NotApplicable Name, Name.,Address, Address:Zip: Phone: Zip:_Phone:FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: NotApplicable 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�ounty 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 strvcture.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.In consideration of the granting of this raqz�ested permit,I do hereby agree that I will,in all respects,perform the work in accordance with the approved plans,tr-e 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-rasfdentlal 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 vour Notice of Commencement.'Signature of Owner/Ayjnees�ii'�-- 518nature of Contractor/LicAns"older'STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF PALM NACH The for The fo ing Instrument was acknowledged before me going instrument was acknowledged before me this-17-day of 1;60 20 lu by this �oday of VC-1- 20jt4 by(Name of person acknowledging) (Name of person acknowledging)(Signet&e of Notary Public-State of Florida (Sioature of Notary Public-State of Florid!Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced GILLIAN CRUCK 9111 IAN QJUCK Commission No. —�Ry PWLIC Commission No. PUBUC fa 9T STATE OF FLOPJDI Revised 07/1512014 PYrilm!t 4r7M,'REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INMALS