HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATIONIO BE.ACCEPTED
Date: Iy Permit Number:
GER R
•
Building Permit-Application JUN 14 2016
Planning and Development Services
Building and;Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982. - .-
Phone:(772)4624553 .Fax: (772)462-1578 C6MmerCial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED-IMPROVEMENT•LOCATION
Address: �I—ar4 P,trce, T=1._
Legal Description:
Property Tax,ID#: 3.�02� lD l D u�5. 01.00-7 Lot No.
Site Plan Name: Block No.
:I
Project.Name;
Setbacks Front" Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
t _
CONSTRUCTION:INFORMATION
}
Additional work to be Derformed under this permit-c ec a apply:
HVAC Gas Tank Gas Piping �i, _Shutters Q Windows/Doors
Electric : F� Plumbing OSprinklers Generator Roof-
Total Sq. Ft of-Construction: S .Ft.of First Floor:
Cost of Construction: �.C_l$ 3 Utilities: Sewer Septic Building Height:
*NER/LESSEE CONTRACTOR:
Name o �+ Name: James J Wauters
Address: 111hi, TijAvobm IDC Company: Just Chillin'HVAC LLC
City: I•-or+ Pl rC2, State:FL Address: 5422 NW Cromey St
Zip Code: 34M Fax: City: Port St. Lucie State:FL
Phone No. 303(a Zip Code: 34986 Fax:
E-Mail: Phone No. 772-940-4373
Fill'in,fee'simple Title Holder on next page(if different E-Mail: justchillinair@hotmail.com
from the Owner listed above) State or County,License: 26326 -
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORMATION
DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
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 Counter makes no representation that is granting a permit willauthorize.thepermit holder to build.the subject structu"re ''
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 j'obsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorneybefore
commencing work or recording our Notice of Commencement.
Signature ofOwner/Agent/Lessee Si nature of Contractor/License Holder N%
STATE OF FLORID x�
COUNTY OF a STATE OF FLORID - "
COUNTY OF
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The for oing inst ent was acknowledgedpefor z The for oing inst ent was acknowledged bef ` 'gin=1
05
this day of 2p 1 by c�T= this day o 20�i.by w g c
6 O� Q
/,( 1/� �e ,O�n C TT2
VVU�,(/��1 r� I ii E2
a e of person acknowledging) (Iyama.fo person acknowledging)77
`ON
(Signature of Ntft Public-State of Flori V - (Signature of Not0i Public-State of Florid )
Personally Known OR Produced Identification Personally Knowrt/ OR Produced Identification
Type of Identification Produced - Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING. SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE.
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
RECEIVED.
DATE
COMPLETED