HomeMy WebLinkAboutBuilding Permit Application 10/03/2016 10:22 7724612036 STEVE SMITH AC PAGE 02/03
ALL APMJCME INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT O
Date: Permit Number: V, O
RECER"D OCT 0 3 7.016
Building Permit Application
Planning and Development Services-
Building and Code Regulation Division
23M VIrrginia Avenue,Fort Pierce ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Selent.fiom droPbox, dick arrow at the end of line
BMW
Address: ��'O/ � 4-Zi
Legal Description: ��/ soc� �•/�- /-/f/t 7 4��, / 4 If
PropertyTax Ib#: � d/`fid`-Oi�/��GoD r --- Lot No.
Site Pian Name: Block No.W
Project Name:
Setbacks Front Back: Right side: Left Side:
Xd
AddMonalworktooAMfformed under s 1 eCk a ap y:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
ElElectric Q Plumbing OSprinklers Q Generator Roof
Total Sq.Ft of Construction. S .Ft.of First Floor•.
Cost of Construction:$ � Utilities:OSewer O.Septic Building Height:
Name 01� Name: Steve Smith
Company- Steve Smith Air Conditioning
City: �/� ��� -__-- State:FC Address: 8WI Eden Rd
Zip Code- �_ �� Fax: City-, Fort F kHve State.Ft_
Phone No. Zip Code. 34951 Fax: 772 461-21338
E-Mail: Phone No. 772 461-1425
Fill in fee simple TWe Holder on next page(if diff0went E-Mail: s '- 'n •'
frons dire omw Usted above) State or County License: CAC181345412WI
If value of ca woucthm b$ZM or more,s RECORDED Notice of Comawncemat is required.
10/03/2016 10:22 7724612036 STEVE SMITH AC
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NVESIGENER/MENGIMNEEPNe "Not Ap,opfricable- MORTGAGE COMPANY; –X—NotApplicable
Name: Name:
Address: Address:
City: state., city: 'State.,
Zip; Phone: Zip: Phone:
FEE 3MPLE 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 rommenced.prior to the issuance of a permit.
St.Lucia 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,wails,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your bilure to Record a Notice of Commencement may result in your paying twice forimprovements to your property.A Notice of Commencement'muA be recorded and posted on the jobsite `
before the first inspection. If you intend to obtain financing,consult%vilth lender or an attorney before
commencing viork or repMdirig vour Notice of;Commencement.
STATE OF FLORIDA STATE OF FLORIVA
The famoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
(Name of person acknowledging) (Name of person acknowledging)
Z141 AV
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known A OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. JdKAL '"who"4PL$wt"h%nIs5ion Noff:L61'34-1 (seal)
14W N17/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW RMEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS
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