HomeMy WebLinkAboutBuilding Permit Application 06/07/2016 13:42 7724621578 ST LUCIE CO IMPACT PAGE 04/05
06/07/2015 14:19 7724512036 STEVE SMITH AC PAGE: 02/03
ALL APPLICABLE 11190 MUST BE COMPLMO FOR APPLICATION TO BE ACaPTED
Date: 607114 permit Number:
i
Building Permit Application
Planning and Development Services
Sulking and We Regulation Dh#slon
2"W91014 Avenue,Fort Pleme FL 94981
Phone:I772l 462-1553 Fax:(77z)462.1578 Commercial Residential
PERMIT APPUCATiON EOR; To Select from dropbox, dick arrow at Me end of line
Address: D! "�-t 11P `
Legal Description. rr '��r /'i� .� ��"� ���Qi/°,i
Property Tax iD#: Lot No. T
Site Plan Name: Slock NQ
Project Name:
Setbacks Front ON*:�Right Side: left Side:
x/
-Iry zlrrl4< A6
Additional wor Orme u pis perm —c ec a app .
HVAC Gas Yank Gas Piping Shutters Wlodows/Doors
DElectric Q Plumbing OSpri.nklers Generator ERoof
Total Sq.Est of Constniwaon: MIL., S .Ft.of First Floor:
Cast of Construction:$ Pd Utilities: Sewer OSeptic Building I lelght:
Name e'iName: Steve Smith
Address: mos Company.Stege Smith Air Cgnditloning
CN' State:�" Address.8001 F,den Rd
Zip Code• /2�/`� Fax.. city.. Fort Plena State•FL Code-
Phone No. X/ , �.f� '�'¢ Zip 34EISi Fax: 77,2 461-2038
E-Wil: Phone No, 772 461-1426
Fill in'fee shapte Tide Kotder an next page(1f different E-Mail:st3Mrn itaci&aol.com
rom -- w
Bthe Owner Fisted above) State or County License• CAC181S4G4/20074
if Volvo of mistmetion is$Z=or MWIR,2 REMDEV Nadle6of 4am,nenCaneni Pe regµired
06/07/2016 13:42 7724621578 ST LUCIE CO IMPACT PAGE 05/05
WW 07/2016 14;19 7124512036 STEvE; SMITH AC PAGE 03/03
DESIGNk-RJFNGiNEf:R: Not Applica#ie MORTGIe►GE COMPANY Mot Applicable
Name: Name:
Address: _ Address:
City: State:. city: State:
Zip: Phone-, Zip: Phone:
FEE SIMPLE TITLE WELDER: �Not Applicabfe BONDING COMPANY; Not Applicable
Name: _ _ Name.•
Address: Addiess:
Iii♦•y: Cky, y�
Zip:. Phone: zip: Phone:
I certify that no work or Installation has commenced.prior to the issuance of a permit.
St Lucie Count makes no representation that is granting a pertnit will out orite the Crit holder to build the subfect sthructure
which is in con ict with aa applicable Home Owners Association rules,dy�ws or an co cords that may restrict 3r 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 5t Lucie County Amendments.
•The following building permit applications are exempt from undergoing a fLll Concurrency review:roots additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER;Your%rdare to Record a Wataee of Cmmmetli"ement may result In your payit twice for
improvements to your property.A.Notice of Commencement,music be recorded and posted on the jobsite
before the first inspection.If you intend to obtdlrl financing,consult With lender or an attorney before
commends rk or reoidinnyour Notice oftommt:ncement.
s
_Signature of weer/lessee/Agent Signature of froctor/Lilmnse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUPM O
The ng Instrument was acknowledged before me: The fwrgoins instrument was acknowledged before me
this day of � . 20 JS-by this_q.-day of 2M!;M!; 20 1_r,,by
r
(Name of person acknomedging) (Name of person acknowledging)
Ail 941
(Sighature of Natary Public-State of Florida) (Signature of Votary Public}State of Florida)
Personalty Known, , OR Produced Identification; Personally Known _OR Produced Identification
Type of identii9eation PraducecL Type of Identification Produced -
Commission No. �Itslon * =
BrAft OF MA1t1y Pi wit
4)Ex*40 STATE OF FLOFSOA
Revised 07/15/2014 �liw 9�r!?/Ytl19 CanwOFFtnM120i
W712Qt9
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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