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HomeMy WebLinkAboutBuilding Permit Application 07/27/2016 07:36 7724612036 STEVE SMITH AC PAGE 02/03 ALL APPLICABLE IAIFO MUST BE COMPLE'T'ED FOR APPi;ICATION TO BE ACCEPTED Date: i 2� /� Permit Number: i ` C F1 - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierce FL 84982 / Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential- t/ PERMIT APPLICATION FOR: To Seiect•frtom dropbox, dick arrow at the end of line Address:Legal Description: -4iY �� Property Tax lD#: �S'/r�-74 �d�y.-(D©'J� T� Lot No,a Site Plan Name: Block No. '/ Project Name: Setbacks FrontSack: Right Side: Left Side: 0 91, All 4 Tf IA wo o Orme under is perm: -c a appy: HVAC Gas Tank Gas Piping 1:1 Sh�af��rs Q Windows/Doors Electric Plumbing ❑Sprit,kfers Generator Roof Total Sq.Ft of Construction: S .Ft.of First Floor: Cost of Construction:$ � � ,- Utilitles:lSevver liSeptic Building height: Name Smirth Address: i -- _ Company: Steve Smith Air CondWor" City: /� r� s� /i4�5� Stat : Address: 8001 Eden Rd Zip Code: � � Fax: city Fort Pierce state:FL Phone No. Zip Code: 34951 Fax: 772484 2036 E-Mail: f� /vr✓ �a�i'a;� Phone No. 772 461-14225 Fell in fee simple title Holder on next page(if dlftreM E-Mail:sten-$mftc@aol.coM from the Ownw listed above) State or County License: CAC1813434120071 if value of co ubvcdon is$2500 or more,a NEWRDW Notice of Cornmenceni b required. 07/27/20I6 87:36 7724612036 STEVE SMITH AC PAGE 03/83 DESIGNIER/ENGiNEER, GE com Y: Not Applicable City: State- City.- state. zip: Phone: Zip: Phone FEE SIMPLE TITLE HOLDER: X-N—ot Applicable BONDING COMPANY: ANot Applicable Name: Name:Address: Address:City: Qtv:Zip: -Phone: Zip- Phone:I certify that no work or installation has commenced prior to the issuance of a permftSt.LucleCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure which Is In conlict 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%4hich 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 undeWing a full concurrency review.room additions,accessory structures,swimming pools,fences,walls,sig�s,screen roorris and acce5sory uses to another non-residential use WARNING TO OWNER:Your failure to Itecard 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,ionsult with lender or an attorney before commencing work or EV!ZdIng your Notice of tommencement.Signature of Owner/Lesseeffigent Signature'-Ef—Co-iri-t-rector/Licenie-Polder STATE OF FLORIDA STATE OF FLORIDA t COUNTYOF COUNTY The fo oing instrument was acknowledged before me The forgoing Instrument was acknowledged before me(Name of person acknowledging) (Name of person acknowledging)f-Watary Public-State of Florida)(Signature of Notary Public-State of Florida) (signature a Personally Known OR Produced Identification Personally Known OR Produced identification Type of Identification Produced Type of Identification Produced Commission No.r± Mal No"aftVNIRmission No. (Seal)NOTARY Uwe OW"IFF23=2 STATE OF FLORIDA Revised 07/15/2014 6110IMSF17014 0Wm,*FFM12W 5/17/20119 RFVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 5EA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE'