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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Date: 07/25/16 Permit Number: ^ © S6 M Wit, Building Permit Application JUL 2 5 20% Planning and Development Services "T;°:'i i : "M Building and Code Regulation Division '_,L. Lucie Cuuri;y, i=l_ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 11 MARGARITA LN Legal Description: ST LUCIE GARDENS Property Tax ID#: 3414-501-1701-000-9 _ Lot No. Site Plan Name: Block No. Project Name: JOEL WYNNE Setbacks Front Back:_ Right Side: Left Side: DETAILED DESCRIPTION OF WORK: AC INSTALL OF A 3 TON GOODMAN SYSTEM C�ar��ec�J� 111M itpiz �.S Seep d vc-4 w oc 7 K.� CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit—check all appy: HVAC Gas Tank F]Gas Piping Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers El Generator Roof Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 3100 UtilitiestSewer ElSeptic Building Height: OWNER/LESSEE: �ON �CTOR, . Name JOEL WYNNE Name: GRETA'B..SMITH Address:800Q S US HIGHWAY 1 _ Company: ALL YEAR COOLING &HEATING City: PORT SAINT LUCIE State:FL Address: 1345 NE 4TH Zip Code:.34952. Fax: City: FORT LAUDERDALE State:FL Phone No. Zip Code: 33304 Fax: 954-617-3798 E-Mail: Phone No. 954-566-4644 Fill in fee simple Title Holder on next page(if different E-Mail: DDANIELS@AYCAIR.COM from the Owner listed above) State or County License: CAC058160 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPI,EMEIUTAL CONSTRt1CT1QN LIEN LAW 1NF{3RMATION. DESIGNERANGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: _ Address: City: State: City: State: 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 permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and 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 WARNIN O OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvemen s to your property. A Notice of Commencement must be recorded and pos ed on the jobsite before the fir t inspection. If you intend to obtain financing, consult with lender or a t rney before com encin ojik or recording our Notice of Commencement. I S _Signat e f Owner/Lessee/Agent Signat re of Contractor/Licens older STAT FLORIDA STATE OF FLORIDA COU OF SAINT LUCIE COUNTY COUNTY OF BROWARD The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 25 day of .JULY 20 16by this 25 day of JULY 20 16 by JOEL WYNNE a GRETA B. ITH IN p r nowledging) ► {Name f Pers n a� {Sig ture of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Pr ype of Identification Produced �r ISSION#FF ` ' ITRIUS A DAN LS Commission No. FF173126 . " MY f�31IISSION#FF1731 8 ommission No. FF173126 it EXPIRES Oaol0er 30,2018 Vii, �� COMMISSION#FFt 26 sowk�.axr+ a ri EXPIRES October 30, 18 h147)-0133 FbrfdsWotasySCrvacw. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS