HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 2113117 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772\ 462-t553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end
PROPOSED IM PROVEM ENT LOCATION :
LegalDescription:
Propefty Tax lD #:
Site Plan Name:
1414-701-0034-000-3 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side: _ Left Side:
LIKE FOR LIKE CHANGEOUT
3.5 TON ,16 SEER 8 KW
CONSTRUCTION I N FORMATION :
s permtt - c aootv:
V
E
HVAC
E lect ric
Gas Tank
Plu mbing
l_leas eiping
|lsprintters tr
Shutters
Generator
l-l *,noo*s/Doors
tr_l-l noor
Total Sq. Ft of Construction:
Cost of Construction: $ 5456 00 Building Height:
OWNER/LESSEE:
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
ZiP Code: 34946 772-466-3053
phone 116, 772-466-2400
E-Mail: DANISEACOASTAIR@AOL,COM
State or Countv License: CMC03542'1
Address: '121 QUENN FREDERIKA COURT
DETAILED DESCRIPTION OF WORK:
CONTRACTOR:
Name ERIC SCHILDWACTER
Address: 121 QUEEN FREDERIKA COURT
City: FT PIERCE State: FL
ZiP Code: 34949
p hone y1s, 7 7 2-97 1 -367 6
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Not Applicable
State:
FEE SIMPLE TITLE
Name:
_ Not Applir:able
MORTGAGE COMPANY: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
I certifv that no work or installation has commenced crior to the issuance of a permit,
St. Lucie Countv makes no representation that is srantine a permit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owiers As5ociation rules, bvlaws or and covenants that mav restrict <ir prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions ld'hich may apply.
ln consideration of the granting of this requested perrnit, I do 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 exempl; 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
Signatu re Owner ractor as Agent for Orruner
STATE OF FLORIDA
COUNTY OF srLUcrE
CFtRrs lnlrcer
Signature of Contractor
STATE OF FLORIDA
was acknowledged before me
allv Known x OR Produced ldentification
of ldentification Produced
i55i6n [\6. FFe61a
(Name of person acknowledging )
of Notary Public- SfaTe oT Florida )
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A-T= *" corvir'rrrsstoru # FF961459
(Name of person acknowledging )
re of Notary Publid State of Florida )
Personallv Known x OR Pr
Type of ldentification Pr
Commission [\e. FFe6145e
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS