HomeMy WebLinkAboutBuilding Permit Application 07/19/2016 14:32 7724612036 STEVE SMITH AC PAGE 02/03
ALL APPUCAi31.E INFO MLW K COMPLETED FOR APPUCATi{ M TO SE ACCEPTED17 ,
Date: r / z6 Permit Number. —�
Building Permit Application
Planning and Development Servltes
Building and code Regulation Division
2300 Virginia Avenue,Fort fierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of lire
s
Ad dress: �� `•� �� 9
Legal Description: l%v��v1r��� •f / �/ rr� // //�/p 67V-79%2
Property Tax ID#- 67 4 Lot No. O
Site Pian Name: Blade No. 7 . .
Project Name: _
Setbacks Front Back: *ht Side: Left Side:
• wa4
WtO AddltonW W6
rme u er E pe ;it-c a appy:
IWWAC TIGas Tank Gas Piping Stutters �Wlridows/Doors
Electric Plumbing as
Cer* rator Roof
Total Sq.Ft of Construction: l /ifs SQ.Ft.of f=irst Floor:
Cost of Construction:$ Utilities: Sewer L DSeptic Building i Leight:--__---------_---
Name s Name: Steva-Sratlth
Address: n�� Steve SM AirConddoning
'
city. /� bra�� Stats:,� Address: 8001 Eden R —
Zip Code:�S'!��' Fax: City: ®�F'°e State:
Phone No.--- Zip code- s496 - -- Fax: 772461-2036.
E-Mail- Phone No. 772 461-1425
Fill in fee simple Title Floldar an rxt page(if different E-Mail: ate^ rattttect�aof.cvm .
from the Owner listed alcove) State or Caunty License: CAC18134.5412OU71
"' N value of construction Is$ZW or more,a BECORT*0 Notice of Comment rtit la mqulmd.
07/19/2016 14:32 7724612036 STEVE SMITH AC PAGE 03/03
C1fSIGN�R/ENGINEER: Not Applicable MORTGAGE COMPANY: JX Not Applicable
Name: Name:
Address: Address:
City: State:, City: State: —_--
Zip: Phone., Zip: Phone:
FEE SIMPLE ME HOLDER: L 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 pri6r to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit bolderto build the Subject SWucture
which Is in conflict with any applicable Home Owners Association rules,bylaws or and covenants tat may restrict or pro lbit 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 permo,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Godes 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 yogi 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 rk or re din our Notice of;Commencement.
Signature of er/Lessee/Agent Signature V Co 2ractar/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo oing instrument was acknowledged before me The forgoing instrument was ackno6ledged before me
this „day of ' 1
. 24 bY this day of IL 20 by f
(Name of person acknowledging) (Name of person acknowledging)
�1liilYYYid, ��tll,.I ill 1
(Signature of Notary-
Public-State of Florida} (Signature of gotary Public State of Florida)
Personally Known _ OR Produced Identification, Personally Known_�!OR Produced identification
Type of identification Produced Type of Identification Produced
Commission No. "NIV3 ission No. 1251111)1 (Seal)
iatton santaroruie
STATE OF' NOTARY i'OJO
STATE OF RIDMDA
Revised 07/15/2014 S►f t1 o o Ca202
5!'I7/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SPA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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