HomeMy WebLinkAboutBuilding Permit Application AIL APPLICABLE INFO PAW BE COMPMM FOGS APPLICATION TO BE ACCEFrIO
ALAP ;` (I,n Permit Number:
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Building Permit Application JUL - 7 2096
Planning and DevelopmentSenrlces
Building and Code Regula'tran Division
23W Virginia Avenge,Fort Pierce FL 34982
Phone:{772)462-1SSS Fax:(772)462-1578 Commercial Residential .l
PERMIT APPU TION FOR: Mechanical
Lot No.
Site Plan Name: SAkO� Block No.
Project Name: l' gz:�t �.
Setbacks Front— Back:_._ Right Side:, Left Side:
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.0cliflOnal wo •o rrn un r �s perm — e a app
ZHUAC Gas Tank Cas Piping _Shutters ❑Windows/Doors
❑Electric Plumbing Sprinklers 11 generator ❑Roof
Total Sq.Ft of Construc`sion: S .Ft.of First floor:
Cost of Construction:S ��� Utilities:I]Sewer 13Se9ft Building Height:
Natsrle�hLL7 s Name: DOUGLAS PENCE
Address:_13L4 (,e =0*, so P—D Company: ABSOLUTELY COOL AIR CONDITIONING
City: Statef014 Address: 2311 NE 15TH COURT
Zip Codel 1Q-!!�" Fax: T City. JENSEN BEACH State:FL
Phone No.* �1 Zip Code: 34857 Fax:
E-Mail: Phone No. 772-475,4641
RII in-fee simple Mile Holder on next gage(If dlffknent E-Mail: absdutalyewlair@gmail.00m
from the Owner Illmd above) State or County license: CAC1815702
If value of constructlaa is$2500 or more,a MCMDED Notice of Com mmeemem.1s req%dmd.
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DESIGNS ENGOPAIRER: _Not Applicable MORTGAGE COMPANY: ,�Not Applicable
Name: Name;
Address: Address:
City" State, City. State.,
Zip:,,,,,,.•.,M.,..�, Phone: Zip: Phone;
FEE SIMPLE TITLE HOLDER., Nest Applicable BONDING COMPANY: Not Applicable
{`tame: iVame:
Address Addre=
City: City:
Zip: Phone: ?+p:. Phone:
OWNER/CONTRAL70R AFROWT:Appilcation is hereby made to obtain a permit to do the work and Installation as indicated.
I certify that no wort:or lnstatlatlon hascommenced prior to the issuance of a permfL
St.Lucle Count makes no representation that is granting a permit will authorize the Pam*holier too build the subject structure
which isIn conflict with any-applicable Home Owners Association rules;bylaws or and covenants that may,res%**or Pmhibtt such
structure.Please conSultwith your Horne Owners Association and re'vtew 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,tbe Florida Building Codes and St.Lucie County Amendments.
The following buitding permit applications are exemptfrorn undergoing a full concurrency review;room additions,
accessory structures,swimming pools.fences,Ovalis,signs,screen rooms and accessory uses to anotbttr non-residential use
WARMING TO OWNER:Your 10we va,Recavd a NcOce of Comawcemetnt meq re ldt 1040W pay"Rune for
Improvements to your pr ,Notice Commencement must be recorded d po dart the jobsite
brfore the tirSt inspe n,if yo intend to obtain financing,consu h lender or an mey before
comm work or ecordi our Notice of Comtttettcement
nature caner/Agent/,teasee q5ture of ntiactor/Lk holder
STATE OF FLFM WSTATE OF FLORIDA, ,
COUNTY OF (.,�"4.c ,
" e OOUNTY 4F e;5 '°-
•The'fo Ing Instrument eves ziwladited before me 'thefo oing Instaument was acknowledgedbeforeme
this' ay osf_! by this, $y of
(Name of perso cknowhidging) (Nam!of, n acknowledging)
" •��� ��'��` (Signature of Notary Pu�tIIr��ride
{signature of Notary Public State of Florida) { 8 ry
Personally-Known OR Produced Identification Personally Knownt!Oft Produmd identtfication
Type of Identification Produced Type of tdentf€tcation Produced;,,_,
Commission .++oar n�i,� DEBQIIp�SF�L
Commission No. AH Rt35Si�L ;r -, ary Public- a of Florida
�.% Notary Pudilc•State of Florida my Comm.sxplioS Nov 38,2018
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Revised p7/15/ r Commission d�FF 119630 +ar,T++ ` Bonded through National Nntar Assn.
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.� through National Notary Assn.
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RMEWS FkONT ZONING SUPERVISOR PLANS VEGETATION 5EATLIRTLE MANr';tOVE
COLINTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECfIVfaD .
DATE
COMPLETED
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