HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 0 016 . ° J Permit Number:
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Building Permit Application SEP 2 9 2096
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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PRO'POSED`,111tPROyVEMENT LO�C,4T1 ;N �� �,�..., �.`
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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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DETAILED DSCRIPTIO
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A/C CHANGE-OUT OF A 4 TON DAY & NIGHT UNIT
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CONSTRUCTION INFORMATION t F ' x I
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Additionalwork toe e orme under t —checkispermit a appy:
❑✓ HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric El Plumbing Sprinklers 1:1Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4200 Utilities:cnSewer Septic Building Height:
CONTRACT OR
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 -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.
OERMATION''£ 3, f �> >a
SUPiPLEMENTAL CONSTRUCTION�LI�=N LAIN'INF 4 _. ry , � ,._ �}t,, M,,,,E . �.��•���.�3_ �. ,' . ` � � �,,,,�<'.� .
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: TNot 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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ature of Owner/Lessee/Agent Signa'
Zre of Contrac or icenie Ider
S OF FLORIDA STATE OF FLORIDA
COUNTY O F SAINT LUCIE COUNTY COUNTY OF BRowARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of SEPTEMBER 20 16by this T day of SEPTEMBER 120 16 by
JAMES CUCCIA GRETA B.SMITH
(Name of person ackno ) (Name of son ledging)
(Signature of Notar�P Ic-State of Florida) (Signat ary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Wo�WSIVelclyaPNol�. .6 itFUfiG BPI
Commission No. FF173126 Seal Commission No. FF173126
(Sea[) Loa'oe.14 b S31dIdx3
a� DIMITRIUS A DANT R.� 9zwLL.-j #NOISSIWWOO AN •( �,
• MY COMMISSION#FF173128
Revised 07 15 2014 {�
/ / a Ra'•' EXPIRES October 30,2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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