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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j� I Date: Permit Number: v ©� a RECEIVED µ..`_ Building Permit Application q Planning nd Development Services AUG 1 2016 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(7 72)462-1553 Fax:(772)462-1578 Commercial Residential PERMITAPPLICATION FOR: Mechanical PROP05ED INPROVEMENT LOCATION: Address: II1 14� tlC��"` ' .- Legal tesdription: ::Fti 11,-t ..t,.lr e LP4-" Property lax it ft: Lot No.---]� Site Plan i ame: Block No. Project Name: r-.V m P `V-rl Setbacks Front Back: Right Side: Left Side: DETAILED-DESCRIPTION OF WORK, i 15 Ew'er Mir Y? 1 � 740 1/ 0 I CONSTRUCTION INFORMATION: Additional work to 5 rtormed under this permit—check a appy: QHVAC Gas Tank QGas Piping _Shutters M Windows/Doors Elel ric F�Plumbing OSprinklers 0 Generator 11 Roof Total Sq. t of Construction: Sq. Ft.of First Floor: Cast of constructiion:$ G'•CG= utilities:0Sewer OSeptic Building Height: C WNEA,/LESSEE: CONTRACTOR NaName: MICHAEL EWING Address:; f ��'-f,5 © Company: PIONEER COOLING&HEATING CitState:?-L Address: 565 NW MERCANTILE PLACE#108 Tip Cod jl i ."C6 Fax: .3�Lf City: PORT ST LUCIE State:PL Prone No. l"�Q I- 'I l ? Zip Code: 34986 Faxc�'}��s 'i LPOL[2 p E-Mail: Phone No. 772-579-9209 Fill In fee simple Title Holder on next page(if different E-Mail: pioneerheatingco@bellsouth.net from the Owner listed above) State or County License: CAC1817251 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1 i 1PPLE 19 N1`; LC 19S7�tUC '!b.>" LIEN LAW t lfC NIAT1:i3 _ a t -- _ - � DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: — Address: l Address: City: _ _ State: City: State: rp: I Phone: Zip: Phone: I FEE SIMPLE TITLE HOLDER- Not Applicable BONDING COMPANY: ,Not Applicable Name: I Name: Address:L_ Address: City: I City: Zip: I Phone: Zip: Phone: I OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. I certify thiit no work or installation has commenced prior to the issuance of a permit. St.Lucie C lunty makes no representation that is granting apermit 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.7lease 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 IItructures,swimming pools,fences,malls;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 commen6rig work or recording our Notice of Commencement. C 1 � Signature f Owner/ ent/Lessee ignature of Contrac:torJlr ense Holder STATE O LOR A STATE OF 111111 , COUNTYOF COUNTY OF C c irJ. The forgoing instrument was acknowlec ed before me The f,o�,r�oy�in,g instrument was acknowledged before me thi�ay of— 20 by thi4_,-4?2 °ay of Q� � 20by (Name of person a } (Name of persona ing) 3 (Signaturi:of Notary Public-State of Florida} (Signature of Notary Pub c-State of Florida) Personally Known (1R.A,tp uce i iifift� PersonaNy Known �' if' n Type of identification Prod'"'RY e° ype.of Identification c� taFy-Rublio---Stato-flf-Ffarida Commission N FF 958939 NOtiry PUNIC'SW offwdds Commission No. 1) ommissiora No. Coim{l int rPfF958939 •' My 6WExpires Mtr 11,Y020 Bonded tnrouph National Notar Assn. r�'�Fa �r� MY COMM,ExpUu Mat 11,2020 I- Revised 07/1512014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE 7 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ��-- RECEIVED DATE COMPLETED � ......... . ...... ......................_. _..,.