HomeMy WebLinkAboutBuilding Permit Application 08/04/2016 16:13 7724612036 STEVE SMITH AC PAGE 02/03
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Date• ���di� Permit Number"
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Building Permit Application
AUG 0 4 2016
PERMITTING
Planning and Development Services. St. Lucie FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial ResidentialF . .�
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PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of tine Hv
Address: � '® r�ra �••- ��'// /
Legal Description: �� /545
Property lax l47#: Lot No.�
Site Plan Name: Block No. w.
Protect Name-
Setbacks Front Back: Right Side: Left Side:
it L eow�'i m4
ion wo oneRerrOffne u er per. .t —c e a app y:
HVAC Gas lank []Gas Piping _5hutters Windows/Doo'
rs
11
Electric Plumbing [:]Sprinklers E]Generator Roof
Tonal Sq.Ft of Construction: � S . Ft.of First Floor:
Cost of Construction:S tltilitiest Sewer OSeptic Building Height:
Name Name: Steve Smith
Address: Q r�n� Company: Steve Smith Air Conditioning
City. State.✓tee Address: 6001 Eden Rd
Zip Code: 7Z?f/ - Fax: City: Fort Plerce State:FL
Phone No. Zip Code: 34951 Fax: 717 481-2036
E-Mail: Phone No. 772 461-1+125
Fill in fee wimple Tide Holder an next page if d1f4rent E-Mail: stevesmthsa@aol.Com
from the owner listed above) State or County License-, CAC1813454 120071
If valoe of conwuicaan is$ISM or more,a RECORDED 140#Ice of Commencement is required.
08/04/2016 16:13 7724612036 STEVE SMITH AC PAGE 03/03
1:1116111 Z 1 1:R 11,1111
DESIGNER ENGINEM Not Applicable
Name,
Address: state: City,
City: state:
Zip- Phone: zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
city: CiW: - -
Zip: Phone: zip: Phone:
I certify,that no work or installation has commenced.prior to the issuance of apermit.
St.Lucie County makes no represen4tion 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.Please consult with your Home Owners Association and review your dead 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.Lucia 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 obta' in financing,consult with lender or an attorney before
commencing work or repmdirt g-yo r Notice of Commencement.
-
S
Signature of dwnerl Lessee/Agent Signature of"r-ofitractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY 0
Thefia Ing instrument was acknowledged before me The forgoing Instrument was acknowledged�before me
this day of IV ,20 ML j.S_by
20 J-J-7by this A—day of
(Name of person acknowledging) (Name of person acknowledging)
Zkl
(Signature of Notary Public-State of Florida) (Signature of tsfatary Public-State of Florida)
Personally Known OR Produced identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. [I-0 !�*OMWIWrijsslon No, F161�1 (Seal)- Maim sanummia
NWARYNWQ -A pop,MIN
_mSTAtC*KIDA NOTARY PUBLIC
PPM202 $TATE OF FloftIVA
Revised 07115/2014 Oxrn*FF23120i
5117r419
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS