HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FoR APPLICATION TO BE ACCEPTED
Darc.2-10-17 Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772\ 462-1.578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM E NT LOCATIOTTI :
LegalDescription:
Propefty Tax lD #:
Site Plan Name:
2421-609-0029-000-7 Lot No.
Block No.
Project Name:
Setbacks Front Back: __ Right Side:Left Side:
I orrntro DESCRIpIoN oF wo:RK:
I
LIKE FOR LIKE CHANGEOUT
3.5 TON 16 SEER 8 KW
rs p€)rmtt -a ppty:
Vr HVAC
Electric
Gas Tank
Plumbing
l_leas eiping
l_lsprint<ters
Shutters
Generator
l-] *,noo*s/Doors
tr tr l-l noor
Total Sq. Ft of Construction:
Cost of Construction, S 5426.00 Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Address: 2402 NEWPORT DRIVE
CONSTRUCTION I N FOR MATION :
OWNER/LESSEE:
Name MABLE WASSON
Address: 2402 NEWPORT DRIVE
City: FT PIERCE State: FL
ZiP Code: 34982
p hon e 11s, 7 7 2-51 9-8628
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3'108 INDUSTRIAL 31st STREET
Citv: FT PIERCE State: FL
ZiP Code: 34946 7.6y. 772-466-3053
p hone y1s. 77 2-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit.
St.. Lucie County makes no representption that is grartting a permit will authorize the permit holder to build the subiect structurewhich is in conflict with any dpplicable Home owfieid Aslociation iuiijs;6ii;w;oi;;d;ijviih;;i;ih;i ;,;i"r;str'ii?ii,'r6ii'flt tr.nstructure' Please consult With tiour Home Owners Association and revi6w'youi tieed ioilhl iestri-iiicjrii raitiiiir'mi'1fipiv."-
ln 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 exemFrt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessorV uses to another non-residential use
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be recoided and iosted bnlhe jobsite
ion, lf.you intend to ob-tain financing, consult with lender or an attorney beforecommenctng worK or recordin r Notice of Commencement,
STATE OF FTORIDA
COUNTY OF srLUcrE
eliRts LnNceL
rne
Signature of Owner/Lessee actor as Agent for Ctwner
was acknow ledg re
,20
(Name of person
ature of Florida )
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
commission l\9. FFs6145s
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUP ERVISOR
R[VIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
Lip: Phone:
DESIG NER/ENGINEER:_ Not Applicable
FEE SIMPtE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Aoolicable
Name:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Signature of Contractor/License Holder
STATE OF FLORIDA
acknowledsed before me
Personally Known x OR Produced ldentification
pe of ldentification Produced
(Name of person acknowledging )
ure of Notary publid- StdYe of Florida )
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ttntssloN # FFs61459