HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 2114117 Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772\ 462-L578 Commercial Residential x
PERMIT APPLICATIoN FoR: To select from dropbox, click arrow at the end of line
PROPOSED IM PROVEMENT LOCATIOl\l :
Legal Description:
Property Tax lD #:
Site Plan Name:
3328-802-0043-000-1 Lot No,
Block No.
Project Name:
Setbacks Front Back: _. Right Side: Left Side:
DETAILED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW
CONSTRUCTION I N FORMATION :
onat wor rmeo un0er rs permtt -a ppry:
V
T
HVAC
Electric T
Gas Tank
Plu m bing
l-leas niping
l_lsprinkters tr
Shutters
Generato r
Ttr
Windows/Doors
Roof
Total Sq, Ft of Construction:Sq. Ft. of First
Utilitie:;: l-l r"*"r.
Floor:
Et"*Cost of Construction. S 5687.00 Building Height:
owNER/L,ESSEE:
Jlsms MICHAEL SAAMUELS
Address: 329 CASSATT ROAD
City: BERWYN State: PA
ZiP Code: '193'12 Fax:
phone p6. TENANT-ELTON 904-866-8039
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 8328 MUIRFIELD WAY
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 3'lst STREET
City: FT PIERCE State: FL
ZiP Code: 34946 p6y. 772-466-3053
phone y1s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03542'1
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNE
Name:
GINEER:_ Not Applicable
Ad d ress:
City:State:Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
Ad d ress:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St- Lucie County.makes no representation that is granting a permit will a.uthorize the permit holder to build the subiect strucrurewhich is in conflict with any dpplicable Hoqe owher:; Hssocratron.rutes, oyiiwfoiind';ov6h;;i;ih;t mav ristrici?i"pro'iiil,t sucnstructure' Please consult With !our Home owners Association and ievi6ri,'yoiiitieea foiihy'reslritti<jnr'ilfiiif''li r'v".dpiv.""
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes anO st, Lucie County Amendments.
The following building permit applications are exemprt 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 Recorcl a Notice of Commencement may result in your paying twice for
iIPlg^":IT!1!9 vorl propertv' A Notice of commencement must be re.nided ano f osteo bnihe iooiit"before the first inspection. lf.you intend to ob-tain financing, consult with lender or an attorn.V O.f6i"commencing work or recording your Notice of Commencefrent.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUP
DATE
COMPLETE
INITIALS
VEGETATION
REVIEW
MORTGAGE COMPANY: _ Not Applicable
Name:
State:
BONDING COMPANY: _Not Applicable
Name:
Signature of Owner/Lessee/Contractor as Agent for Crwner
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
re of Notary Public- St-ate of Florida )
Personally Known X OR produced I
Type of ldentification
Commission [j9. FFe6145e
Signature of Contractor/License Holder
STATE OF FLORIDA
of person acknowledging )
ure of Notary Public- Stat'e oTFlo
nally Known OR Produced
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