HomeMy WebLinkAboutBuilding Permit Application 07/08/2016 19:09 7724612036 STEVE SMITH AC PAGE 02/03
ALL APIPLICABI.JE INFO @Ali5'l'BE COMPLETED FOR APPLICATION TO BE ACCEDED
Date: Permit Number: (Q U 0
RECEIVED
Building Permit Application JUL 1 1 2016
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 V
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of lire
Address:
Legal Description: a,�.�
-If ly �� /B�/�'J��/.d�/���� �7T/.�� J�iti AW Z__fIF,�
Property Tax lD#: ��!J�~ Or--/09CJ�O�-- Lot No._.. ..J
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
// mss, •�/rte f�f��i[ �7�'.�i�"-��C®d/ d✓i�� ��A/ Y.rdl /7"�'
L
A00itionalworktol5kortormed under this permit--check a appy:
hVHVAG Gas Tank Gas Piping _Shutters El Windmus/Doors
Electric 0 Plumbing Sprinklers ®Generator Q Roof
Total Sq.Ft of Construction: e� 5 .Ft.of First Floor:
Cost of Construction:$ fQd Utilities: Sever Septic Building Height:
I In 111-111; NOT.-
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Name �.�� '�'�� rNampeeve SrrrimAddress•/i'1 9 f cr �.el - Steve Srnith Air Conditioning
City: State:/2' Address: 8001 Eden Rd
Zip Coder/_ Fax: City: Fort Pierce State.fit.
Phone No. .yam �� 5��'� Zip Code. Fax: 772 461"2036
E-Mail: Phone No. 772 481-1425
Fill in fee simple Tilde Fielder on next page(If different E-Mail: stevesrnftc@aol.com
from the-owner listed above) i State or County license: CAC181$464 20071
tf value of construction Is$25W or more,a RECORDED Notice of Commencement i.9 required.
07/08/2016 19:09 7724612036 STEVE SMITH AC PAGE 03/03
�WNGINEER--M"NW11billille MORTGAaI€COMPANY: Not Applicable
Name: Name•
Address: Address:
City; State:: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: n Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced.pribr to the issuance of a permit.
St.Lucie County makes no reprlsentation that is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with any app!cable Home Owners Association rules,bylaws or andcovenantsthat 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 Cooney Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessary structures,swimming pools,fences,walls,signs,screen rdo'ms and accessory uses to'anather 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 pasted on the jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or rerAwding your Notice of;Commencement.
s
Signature of er/lessee/Agent Signature of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY O�
The fo oing instrument was acknowledged before me' The forgoing instrument was acknowledged before me
this day of 'U04t ._ 20 .� by this�day of M, : .20 ,_S by
(Name of person acknowledging) (Name of person acknowledging)
A/
(Signature of Notary Public-State of Florida) i (Signature of!rotary Public-State of Florida}
Personally Known OR Produced Identification: _ Personally Known � OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. 7312v3 _ "'"10'� ission NoOn.,} -c�Z (Seal)
NOTARY
PNatxllu N�tton 8entamsrt�
--'. M%STATE OF' NOTARY P'll G
STATE OF FLORIDA
Revised 07/15/2014 E0110 5/17=19 o Cam*FM1202
5!!7l�Q19
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS