HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 2113117 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1ss3 Fax: (7721 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Legal Description:
Property Tax lD #:
Site Plan Name:
2321-801-0028-000-3 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
5 TON ,15 SEER 1O KW
tona tn rsTtr
permrt -
V
-T
HVAC Gas Tank
Plum bing
Gas Piping
S prin kle rs
S h utte rs
Generator
l_l *,noo*s/Doors
Electric tr_tl l-l noor [-' Roor pitch
Total Sq. Ft of Construction:So. Ft. of First Floor:
Ut t es: l---lr"*", I t"*Cost of Construction' S 6973.00 Building Height:
CONTRACTOR:
PROPOSED IM PROVEM ENT LOCATION :
Address: '10609 PINE CONE LANE
CONSTRUCTION I N FORMATION :
OWN ER/LESSEE:
113n-1g LARRY ATWELL Name: CHRIS LANGEL
Address:10609 PINE CONE LANE Company: SEA COAST A/C
Citv: FT PIERCE State:FL I nddr"rr' 3108INDUSTRIAL 31st STREET
Zip Code: 34945 P3*'
phone Ns.772-464-7449
City: FT PIERCE State: FL
ZiP Code: 34946 p31'. 772-466-3053
E-Mail:p hone 11s, 77 2-466-2400
Fill in fee simple Title Holder on next paSe ( if different I r-vail: DANISEACOASTAIR@AOL.COM
from the Owner listed above)State or County License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
Ltv'Phone:
BONDING COMPANY: Not Aoolicable
Name:
Addres J.
City:
Zip: Phone;
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countv makes no representation that is srantine a oermit will authorize the permit holderto build the subiect structure
which is in conJ'lict with any dpplicable Home Own-ers AsSociation rules, bvlaws or and covenants that mav 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, ldo hereby agree that lwill, 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, 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. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or record ur Notice of Commencement,
Signature of Owner ractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
ing instru
,{-., ^{uoy \/r v
f
ure of Notary Public- State of Florida )
Type of ldentification P
Commission [\9, FFs61
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
fore me
by
Personally Known X OR Produced ldentification
'Iype of ldentification
Commission No. F
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
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!l'.,{9r.. OANELLE nfi
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EXPIRES February 16' 2020
Revised 07l15l20l4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS