HomeMy WebLinkAboutBuilding Permit Application 06/14/2016 07:16 7724612036 STEVE SMITH AC PAGE 02/03
ALL APPLICAB4 INP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: f /� Permit Number: �ezcx `(Ya 3
MIS .
RECEI'.' D JUN 14.2015
Building Permit Appllcatl0n
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 Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lime G
Address:
Legal Description: ZoA4-w4"
Property Tax ID#: Lot No.
Site Pian Name: . --_ Block No.__J~
Project Name:
Setbacks Front Back: Right Side_ left Side:
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lona wor orme under is perms -c ec a appy:
HVAC 0 Gas Tank E]Gas Piping _Shutters D Windows/Poors
Electric 0 Plumbing []Sprinklers I-,.l Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor;
Cost of Construction:$ � T Utilities. Sewer®Septic Building height:
Name �� ' Name: Steve Smith
Address: 7N4� ll Company: Steve Smith Air Conditioning
City: Fes ' State.ge�z Address: 8001 Eden Rd
Zip Code: J%J5� Fax City: Fort Pierce State-FL
Phone No. ���y -�1��S' Zip Code: 34951 Fax: 772 461-2036
E-Mail: Phone No.772 461-1425
All in fee simple Title Holder on next page(if different E-Mail: stevesmthac@aol.com
from the Owner listed above) State or County license: CACIS13454/20071
if value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
06/14/20I6 07:16 7724612036 STEVE SMITH 4C
PAGE 03/03
D"ES I G NME RR Ft-Ef IN 6 1 N t E R Not Applicable MORTGAGE COMPANY.-M-X Not A-p- plicablell
PoNE
Name, Name:
Address: Address:
Zip: Phone: Zip: Phone.
FEE SIMPLE TITLE HOLDER; -LC—Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone. Zip: Phone:
I certify that no work or instollation has rornmenced,pribi-to the issuance of a permit.
St,Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject kicture
which is in conlict with any applicable Home Owfiers Association rules,bylaws or and covenants that may restrict or prsolhlibft 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*1 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,si6s,screen rooms and accessory uses to another non-residential useWARN11NG7O OWNER:Your failure to Record aflotice of Commencement may result Inyouupayingtimice 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,c"onsult with lender or an attorney before commencing work or[�Mding your Notice of',Commencement.STATE OF FLORIDA STATE OF FLORROA COUNTY OF. COUNTY 0 The fb In Instrument was acknowledged before m: The forgoing instrument was acknowledged before me Ago; 9 this *L day of IUAt 20 i's-by this day of 20 by(Name of person acknowledging) (Name'of person acknowledging)(Signature of Notary Public-State of Florida (Signature of gotary Publit.-State of Florida)Personally Known 611 Produced Identification Personally Known OR Produced Identification Type of identification Produced 7ype of identification Produced Commission No. luomomissionNOP (seal)STATE CW WarARY KWO REVIEWS FRONT ZONING SUPE.RVISOR PLANS VEGETATION 5EA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW., REVIEW REVIEW REVIEW DATE COMPLETE INITIALS