HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 016 . Permit Number:
RECEIVED
Building Permit Application SEP 2 9 20%
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: Mechanical
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Address: 3005 INDIGO BUNTING CT
Legal Description. EAGLES RETREAT AT SAVANNA CLUB
Property Tax ID#: 3424-701-0065-000-6 Lot No.2
Site Plan Name: Block No. 57
Project Name: JAMES CUCCIA
Setbacks Front Back: Right Side: Left Side:
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CONSTftUCTIQN INFORMATION, r1
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Additionalwor to UP Derformed un er t is permit–check all appy:
❑✓—HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4200 Utilities:'n Sewer D Septic Building Height:
0 /1/NER/LESSEE: , ',
GO, � k
Name JAMES CUCCIA Name: GRETA B. SMITH
Address:3005 INDIGO BUNTING CT Company: ALL YEAR COOLING &HEATING
City: SAINT LUCIE COUNTY 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.
SUPIPLE(UIENTAL'GONSTRUGTIQN LIEN,LAIN INF RMATION �, _ i ,Ih € <l a1 r3
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DESIGNER/ENGINEER: _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
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 our Notice of Commencement.
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_5 gnature of Owner/Lessee/Agent Signa�r re of Contrac or !cense older
S ATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY COUNTY OFBROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of SEPTEMBER 20 16by this day of SEPTEMBER 20 16 by
JAMES CUCCIA GRETA B.SMITH
(Name of person ackno r ) (Name of son ledging)
(Signature of Notar02uIc-State of Florida) (Sign atary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced—,--, _
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FF173126 FF173126
Commission No. (Seal) Commission No. 10Z 0C�� 17 S3dIdX3
DIMITRIUS A DANT sats[I�d#NOIssIWW00 tiW .( �, `•
MY COMMISSION#FF173126
Revised 07/15/2014 '%. •••NP, EXPIRES October 30,2018
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