HomeMy WebLinkAboutBuilding Permit Application 10/10/2016 17:20 7724612036 STEVE SMITH AC PAGE 02/03
ALL APPLICA M INFO MUST Bir COMPLETED FOR APPUCATION.TO BE ACCEPTED
Date: Permit Number:
7
Building Permit Application OCT 1 1 2016
Planning and Aevelcpmerrt Services PERMITTING
Building and Code Regulation Division St. Lucie County,/FL
2300 Virginia Avenue,far!Pierce F!34982
phone:(772)462-1553 Fax:(772)462-1578 commercial�� Residential yy
PERMIT APPLICATION FOR: To SOW figol» dropbox, dick arrow at the end of line
Address:
Legal Description:
Property Tax ID##: � "fir-" Lot No.
Site Plan Name: Dock No. ��fd
Project Name:
Setbacks Front Back: Right Side: Left Side:
o a WorK to -fified under s rntr �-c a y:
HVAC Gas Tank Gas Piping Shutters Et Windows/Doors
Electric Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$_ -� � __- utilities: Sewer Septic Building Height:
Name �� l l'� Name.Steve Smith
Address: Q �f��a __ Company: Steve Smith Air CWWonin8
ZZ Address: 8001 Eden Rd
Zip Code: Fax: ___-- City: Fort Pearce - — State:Ft
Phone No. �J� ��f ��'� ___-- Zip Code: $4951 Fax, 772 461-2036
E-Mail* Phone No. 772 461-1425
Of in fee sInWl#TftIe Holder on next page(if diff6rent E-Mail: stevesmthac0aol-mm
fmm the Owe Bsted abom e) State or County License.• CA018134%120071
u value of kaon is$zsw or more,a RKQRMv Notice at ConunencelrAmd is required.
10/10/2016 17:20 7724612036 STEVE SMITH AO PAGE 03/03
STATE OF FLORIDA STATE OF FLORIDA
MENEM
DESIGNERIEN K Not Applicable MORTGAGE COMPANY:- �X,nNot Applicable
Name. Name:
Address: Address:
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 1ge�Zounqmakes no representation that is granting a permit will authorize the permit holder to build the subject ucture
wh s in conflict with any applicable Horne Owners;As-sociation rules,bylaws or and covenants that may restrict or pro%ribit 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-Lucle 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 amessory 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 repovding your Notice of tornmencement. _.IoO
–signature of&vner/Lessee/Agent Signature bf Cofitractor/Licen—se Holder
COUNTY OF COUNTYOF
�
The fo, - instrument was acknowledged before me The forgoing instrument was acknowledged before me
Agoing
this J_ day of 20 _15�by this
day of 20 by
ZL�- S312444u
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-state of Florida)
Personally Known OR Produced Identification Personally Known _2� OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No. (Sea])
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIM
DATE
COMP
INITIALS L �J