HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TOBE ACCEPTED
Dote: Permit Number:
Building Permit Application
Planning and Development Se/vices
Building and Code Regulation Division
Z3OUVirginia Avenue, Fort Pierce 83498
Phone: (77%)462'1S53 Fax: (772)46J-1S7O CorDDq8rCi8lResidential «
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7711 GREENBRIER CIRCLE PORT ST LUCIE FIL 34986
Legal Description: pOO18pUD11LOT 81
Property Tax 0#: 3322-700-0096-000-6
Site Plan Name:
Project Name:
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Right Side: Left Side:
Lot No. 91
Block No.
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HVAC L,~|l
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Total Sq. FtofConstruction:
____
Cost nfConstruction: S8830.00Utilities: F—]SewerF—]Septic
on/s permit cnecKax appiy:
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Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ANTHONY PAPPAS
Name: PHILIP NISA JR
Address: 7711 GREENBRIER CIRCLE
Company: NISAIRAIC
City: PORT ST LUCIE State: FL
Address: 3700 S US HWY 1
City: FORT PIERCE State: FIL
Zip Code: 34986 Fax-
Phone No. 772-595-0003
Zip Code: 34982 Fax: 772-468-9745
E -Mail:
Phone No. 772-466-8115
E -Mail: NSIMMONS@NISAIR.COM
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
State or County License: CAC041199
Ifvalue of construction iu$25o ormore, oRECORDED Notice of Commencement is required.
Not Applica
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_ Not Applicable
State:
_Not Applicable
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 your Notice of Commencement.
I N a
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
Co
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _ day of , 20 _by this a day of APRIL , 20 _by
(Name of person acknowledging )
PHILIP NISA JR
(Name of person acknowledging )
(Signature of Notary Public- State of Florida ) I (Signature
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commissio NOW LSIMMM
k. .ETXMPI RES f FF, V
t EXPIRES, octL 2, 2019
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