HomeMy WebLinkAboutBuilding Permit Application 07/12/2016 12:28 7724612036 STEVE SMITH AC PAGE 02/03
ALL APPUCAW Q MUST BE COMPLETED FO.R APPUCATiONI TO BE ACCEMD
Date: Permit dumber: CV
Building Permit Application
Planning and DevelopmentServices.
Building and Code/Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34982 V/
Phone:(772)462-1553 Fax:(772-)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select ftmm dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax lD#: /��� DD91p00 -� Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: . _ _........ Right Side: heft Side:
f
a Worko rme u er pe –r r a app Y-
WHVAC TfasTank Gas Piping _S4t�atcers E]Windows/Doors
Electric E—Plumbing BSOfqiklers Generator Q Roof
Total Sq.Ft of Construction: SQ,Ft.of First Flavor:
Cost of Construction:$ Utilities:Seager liseptir. Building Height:
Name /der/r�C r� Name:xStsve-Smith
Address: Company Steve Sunilh Air Condi3ioning
City: State:/-Z Address: 8001 Eden Rd
Zip Code: TYfr/ Fax: City. Fort Plerca State•FL
Phone No. Zip Code:.34951 Fax:772 46.1-2036
E-Mail• Phone No. 772 481-1+425 -
FM in fee simple rhie Holder an next page(if different E-Mail:
�te�ea neo��l.cotn
from the Owner psted above) State or County license: CAC1813464120071
if value of own is$2500 or more,a RECORDW Notice of ComoeanwmaV is mgvired.
07/12/201i 6 12:28 7724612036 STEVE SMITH AC
PAGE 03!03
RESIGNE 1/ENGINEER: x Not AppiirrableMORTGA rt,,( iamY: Not Applicable
�..,
Name: Name:
Address:• Address:
City: State: _ City: State
Zip: Phone: Zip:-Prone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address:; Address:
City: City:
Zip: Phone: Zip: Phone-
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 hermit will authorize the ermit holder to build the subject structure
which is in;con ict with any applicable Home Owners Association rules,bylaws or anscovenants 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 considetation 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 Florlda Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt'from undergoing a full concurrency review:room'addi€ions,
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 jobsite
before the first inspection.if you intend to obtain financing,consult with lender'or an.attorney before
--commencinriuork or recording our Notice of Commencement.
5ignaiur t>€Owner/Agent/Lessee Signature of ntractor/License Halder;
STATE OE FLORIDA STATE OF FI.OIII
COUNTY OF 5k, 1 u��� COUPM OF L_L3 e
The for oing instrument was acknowied ed before me The!oWoing instrument was acknowledged before me
this day of +ti�r ,2pby thls'f day ofSye-yo;LN PT
�y ,r 2a by
1
(Naive of person acknowledging) (Name of person acknowledging)
(Signature of Ndary Pub ic-State of Florida) (Signature of�fotary Pu iia State of Florida)
Personally:Known OR Produced Identification Personally Known OR Produced Identification .
'type of Identification Produced l_ Type of identification Produced fl—T�L—
Commission No. 1t 3S (Sean Commissioi►No. I (SealC 0418 ��
NoNCT(ARYPUBW NOTARYMBLIC
STATE OF ILMDA WIT OFF FUNDA
Ftev'ised 07/15/2014 ca+wn#FFta8235 Carw4fF oam
Exxi res"I/Ml 8 ExVlreiii 3/31/2019
REVIEM FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATI
COMPLE7 ED