HomeMy WebLinkAboutBuilding Permit Application 12/15/2816 15:52 7724612836 STEVE SMITH AC PAGE 02/03
Date: /�Z/Z�z Permit Number
7
RECEIVED
Suildino Permit Application DEC 15 2016Planning and Development S�--rvlces�
23M Virginia A ue,Fort Pierce FL 34982 mty, FL
'ven LU(/IiCO I
Phone:(772)462-1353 Fax:(772)462-2578 Commercial Residenti I
PERMIT APPUCATION FOR: To Select 00M dropb'ox, click arrow at ft end of line
Legal Description; zo��45"
PropertyTaxiD#: Lot
$1te Plan Name., Slock No.
Project Name:
Setbacks Front_ Back; Right Side-, Left Side:
A�471
UHVAC Ij Gas Tank [:]Gas Piping Ij Shutters F]WIndows/Doors
OElectric 0 Plumbing OSprinklers Generator ID Roof
Total Sq-Ft of Construction: S Ft.of First Floor:
1]Sewer Q Septic Eluilding Height:
Cost of Construction:$ ;:��4:5:11 Utilities.
Name: Steve ST110
Address: Company, Steve Smith Air Conditioning
city. Stato:Z,::Z Address. 8001 Eden Rd
Zip Code- Fax: city: Fort Pierce -State,FL
Phone No. Zip Code: 34951 Fax: 772 461-2036
E4vuil: Phone No.772 401-1425
Fig in Me simple TI&Holder on nm Me If dWrvnt E-mail:'stevesraftecool-com
from the ownew Usted abo") State of.County Licem": GAO 18113454/2OD71
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12/1 1 5/2016 15-:52 7724612036 STEVE SMITH AC PAGE 02/03
DESIGNERANGINEER: _X Not Applicable MORTGAGE COMPANY. Not Applicable
1EER_- Not Applicable
Name:
Name:
Address.,
Address:
City: State: City: State.,
Zip: Zip:_Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
KNot 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 Coun 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 struoures,swimming p6ols,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 workor remdin Ryaur Notice of Commencement.
Signature of Crwrier/Lessee/Agent Signature of Cotitntaor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The foxgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_�Lday of_M{ 20 J-5-by this�day of_ 20 by
14 llCthk
////"
(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 OR Produced Identification
Type of Identification Produced Type of Identification Produce
Commission No. fission N00191c)-1 (Seal)
NWOTARY 00111*0 WOW SN*Whww
67TATME QF VA NOTARY PLIBUC
OF FLORIDA
Revised 07/15/2014 E*kn 5111)2019 FMI202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REV15W REVIEW REVIEW REVIEW REVIEW
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