HomeMy WebLinkAboutBuilding Permit Application Jul 13 16 07:15p 'Mr.Cool Air Conditioning 772-286-6160 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ���0"?"
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Building Permit Application
Planning and Development Services
Building and Cade 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 line
PROPOSED IMPROVEMENT LOCATION:
Address: 100 SF_ PRIMA 115TA BLVD
Legal Description: R l VSIZ PARK- LLw I T 5 RLK.5 0 W 1.0 F-10 E LffT I'7 Par) ALL LOTS
IS., 19 i A Nn 20 ( PARCELS A Ater) Z)-(MAP 341 �hR 31k7 -
Property Tax ID#: 341 Q- .540-0241- 0OD=5 Lot No.1%($�1.20
Site Plan Name: 7-11 C01IVENIE139Z _C;T0@ Block No.-50 -
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE * RKPLACF- EXISTING AIC FOR SAME. -OIC' ROOFTOP. NO DUCTWORK.
7L1A5TlAL,L.I NG-: &OOOMPA 3 P45. S Tats , PAtXACE ULNfT. "10 Klan WERT-
IA-SEER- --,MD1)SL4 a xxx.
CONSTRUCTION INFORMATION:
Additional work to be rrormed under tis permit—c ec aIII appy:
HVAC Gas Tank aGas Piping _Shutters Windows/Doors
DElectric 0 Plumbing a5prinklers Generator (Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 7,.$00.00 Utilities:lnSewer aseptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Dame M 1 LLE?,S. L L['_ Name:7TRbMA5 P ANE/CAROL POOL
Address: P.O. 1309 44 00 DEPT. ITU Company:AYERS E,,CT ik1C_XXe-1Mk.P004 A_C,
City: 512-07T5DAL£ State:AZ. Address: 4-55 . 51E.DIXIE ROSS ST
Zip Code: $_52toi Fax: ` City:_ST UA Wr _State-r
Phone No. Zip Code: 494Fax:-!772. 2Si0-[nt_(z
E-Mail: Phone No_
Fill In fee simple Title Holder on next page I if different E-Mail:p 6oL iit-AR@s`+OMCAIST MET
from the Owner listed above) State or County License: l"A C 1$1756 5
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Jul 131GO3:35p Mr.Cool. //2~2uo'uluV p2
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SUPPLEMENTAL CONSTRUICTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable -MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City. State: City: —5tate:
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 County makes no representation that is granting a permit will authorize the ermitholdert,o build'the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or ang 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 jobsite
before the first inspection' If you intend to obtain financing,consult with lender or an attorney before
-commencing work or recording your Notice of Commencement.
pan? s
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
(Name of person acknowledging) (Name of person acknowledgini)
(Signature QJ Notary Public-State of Florida (Signature of Njbary Public-State of Florida
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of Identificati Type of Identification Produced' Dr N Vej-S Ut c er<4e-
Commis ion o. Notary PM0 State of Florida Commission No. o iRy P(,,11 BOTTERN
FCC,q 9 Corninisslaft 0 FF 948940 J�15 4q L( 1� Notary Public-State Of Florida
4. 1- rommisAlon#FF 946940
my comm,Expires Jan 10.2020
Revised 07/15/
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