HomeMy WebLinkAboutBuilding Permit Application To:St. Lucie Cnty Bldg Dept Page 2 of 3 2016-08-19 20:19:10(GMT) 18666845854 From:Scott Hixon
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: (1tJ w Permit Number: RECEIV-
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Building Permit Application AUG 19 2 '+:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow{ at the end of line
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Address: 145RAMIE LANE, PORT ST. LUCIE FL 34952
Legal Description: RIVER PARK UNIT 3
Property Tax ID#: 3419-515-0101-000-4 Lot No. 11
Site Plan Name: Block No. 23
Project Name: DIFRANCO
Setbacks Front Back: Right Side: Left Side:
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A/C change out no duct work 3.5 ton/ 16 seer/10kw heat Carrier System
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HVAC Gas Tank []Gas Piping Shutters Windows/Doors
❑Electric ❑ Plumbing aSprinklers ElGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4049.00 Utilities:cnSewer Septic Building Height:
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Name Mary Ann DiFranco Name: WS. HIXaN
Address: 145 Ramie Lane Company: AIR PLUS LLC
City: Port St Lucie State: FL Address: 3261 SE SLATER ST
Zip Code: 34952 Fax: City: STUART State:FL
Phone No. 772-971-2986 Zip Code: 34997 Fax: 866-684-5854
E-Mail: IPhone No. 772-486-2002
Fill in fee simple Title Holder on next page(if different E-Mail: marshamesser@airplusservices.com
from the Owner listed above) State or County License: CAC-1816064TA
If value-of construction is$2500 or more,a RECORDED Notice of Commencement is required.
To:St. Lucie Crity Bldg Dept Page 3 of 3 2016-08-19 20:19:10(GMT) 18666845854 From: Scott Hixon
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DESIGN ER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable.
Name: Name:
Address: Address:
City: State: City: State:
Zip: N 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 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 deed for any restrictions which may apply.
In consideration ofithe 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,
aceessory 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 obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
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IIW&65�p Nctor as Agent for owner
Sig fttture`bf Ow 0/1-essee/Con't Sig40M, r c r License mer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 19 day of August 20 .16bythis t9 day of AUGUST 20 16_by
"William S�-Hixon MLLIAM S.HIXON
(Name of person acknowledging) (Name of person acknowledging
_FSIgna�ure of Notary Public-State of Florida
(Signatbre of Notary PubUic-State of FlIor;da
..... .. ..... ...... . .................................
Personally Kno n Personally Known
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Type of Identifii a itin o, ce Type of Identificati,r PQ , ,_ AR
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My COMMISSION*FF1 71053
Commission N 5:*XPIRES CJM�er 22,2018 Commission No. FF 1 1 1 9�XPIRE4%- &bar 22,2018
32V-01S3 FIWIdIN016
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS