HomeMy WebLinkAboutBuilding Permit Application Jun 07 2016 08:09AM WOLF AIR CONDITIONING INC 772-464-1127 page 2
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED "
Date: I In • Permit Number: RECEIVED
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Building Permit Application
Planning ad Development Services JUN /7 �01�
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(I 2)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 1010 buckeye dr.
Legal Description:
Prope rtyTax ID#: 3404-501-053&000-7 Lot No.
Site Plan Name• Block No.
Project Na e:
Setbacks Front Back: Right Side: Left Side:
like for like a/c changeout 2.5 ton 10 k.w. I- 4e e r—
ti.
KIM
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Additional work to e e orme un ert is permit—c Check a apply:
❑HVAC Gas Tank F]Gas Piping OGenerator
Shutters Q Windows/Doors
Ele Ftric 0 Plumbing [:]Sprinklers Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 3000 Utilities:ll Sewer Septic- Building Height:
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IRMi
Namejetcp Inc. Name: logan winn
Address:?985 conifer st Company:wolf air conditioning
City;.ft.Pierce State:6 Address: 3785 oleander ave
Zip Code 34951 Fax: City: #•pierce State:fl
Phone No. Zip Code: 34982 Fax: 772-464-1127
E-Mail: Phone No. 772-464-8298
Fill in fee simple Tiitle Holder on next page(if different E-Mail:wolfaircondition@bellsouth.net
from the(Owner listed above) State or County License: cac1813681
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
Jun 07 2016 08:09AM WOLF AIR CONDITIONING INC 772-464-1127 page 3
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DESIGNER ENGINEER: Not Applicable
p,
/ MORTGAGE COMPANY: Not Applicable
Name: 1 Name:
Address: i Address:
City: State: City: State:
Zip: I Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER. _Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
Address: I Address:
City: I City
Zip: I Phone: Zip:. Phone:
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1 certify tha�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 cpnfiict 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 exemptfrom 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 fallure 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 th6 first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_ ignatur i of Owner/Lessee/Agent ature of Contractor/License Holder
STATE OF FLORI A STATE OF FLORID
COUNTY bF - L,�.-� c COUNTY OF n _ 4 .x '
The forgoing Instrument was ackriowledged before me The forgoing instrument was acknowledged before me
this '7 day of `s�-, 20[4�_by this �7 day of 20 %C v by
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known Personally Known OR Produced Identification
Type of Identificatio r am�N. Type of Identification Prod °
sry public• Otsb at FloriN
Commission No. •° come•FF 21001 Commission No. >don R 2109!11
My Co Morel Apr S.8919
1WNlh=ghN{a4arWNdaryAt111. My Cam.E*ms Apy.3.201
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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