HomeMy WebLinkAboutBuilding Permit Application 10/25/2016 13:05 7724689745 NISAIR PAGE 01/03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 % Permit Number:
Building Permit Application OCT � 5 n
Planning and Development Sert+lces
Building and code Regulation Division PERI4ITTIING
1300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)46R-3.555 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
iR.U,
Address: 1020 SHOREWINDS pR APT 2
Legal Description:
Property Tax lD#: 1425-701-0002-000-4 Lot No:.
Site Plan Name: CORAL COVE BEACH Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C CHANGE OUT "` r�.
1AKi
Adciitlonal work o Ug performeclunrert is perm t- c eck all tm apply,
HV Gas Tank Gas Piping _Shutters- Windows/Doors
ElElectric Plumbing []Sprinklers Generator Roof I r Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 3840.00 Utilities: FSeptic Building Height:
Name ABS 1010 SHORE,WINDS DR LLC Name: PHILIP NISA JR
i
Address:63 NW 350TH RA Company; NISAIR AIR CONDITIONING
City: WARREN513l1RG State:MO Address: 3700 S US HWY 1
Zip Code: 64093 Fax: City: FORT PIERCE Stiate:FL
Phone No,660-441-2$43 Zip Code: 34982 Fax: 772-466-8915
E-Mail: Phone No. 772;4613-9745 rY�x
Fill in fee simple Title Holder on next page(If different E-Mail: NSIMMONS@NISAIR.COM
from the Owner listed above) State or County License; CAC041199
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required,
10/25/2016 13:05 7724689745 NISAIR PAGE 02/03
y
t -
DIESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: �Not Applicable
Name; Name.•
Address: Address:
City: State,_ City: 'State*
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: r,Not Applicable BONDING COMPANY: Not Appiicable
Name: Name:
Address: Address:
Clty: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St,Lycle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with anapplicable Home Owners Association rules,bylaws or and covenants that may resWct 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,f do hereby agree that I will,in all respects,perform the wok
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 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 thie jobsllte
before the first inspe Pctn. if you intend to obtain financing,consult with leader or an attorney bef6re
commencin work o ecordingvour Notice of Commencement.
IOU Philip Niaa Jr
Signature of Owner ess tractor as Agent for Owner Signature of CanZA
o ease Holder
STATE OF FLORI STATE OF FLO
COUNTY OF COUNTY OF srcuciE
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before'ine
this day of 20 by this " day of QGTOBER 20 _by':'
PH W P N(SA JR
T14M of perso acknowle (Name of person acknowle },
s
(si nature of Ndfairg P ic-State o Florida) (Signature cf No Pu c-State of Florida)
Personally Known OR Produced Identification Personally Known X OR Produced identification
Type of Identific ion Produced Type of identification Produced
Commission No. (seat) Commission No.
:� M'r COIV 9tOtd#FF8t8g85
Revised 07/15/2014 Moil
.s,, sorraoarhrut�olari�uDaounde>+►�rs
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE '(MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
BATE -
COMPLETE
INITIALS -