HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.2114117 Permit Number:
Buildirrg Permit Application
Planning ond Development Services
Building snd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL j4982
Phone: (772) 462-t553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select 1'rom dropbox, click arrow at the end of line
PROPOSED lM PROVEMENT LOCATION r
LegalDescription:
Property Tax lD #:
Site Plan Name:
1423-501-0017 -000-2 Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I
I DETATLED DESCRTPTTON OF WORK:
LIKE FOR LIKE CHANGEOUT
2.5 TON 14 SEER 8KW
CONSTRUCTIO.N I N FORMATIO.N :
onal worK to aoolv:
Vr HVAC
E lectric
Gas Tank
Plum bing
l_lcas eiping Sh utte rs
Generator
l---l *,noo*s/Doors
T l_lsprinkters I T KOOT ptICn
Total So, Ft of Construction:Sq. Ft, of First Ftoor:
Utitities:l-lr"*"r[]t"* BuildingHeight:Cost of Construction: $ 4631'00
OWNER/LESSEE:
;13ms ANTHONY MARKOSKY
Address: '17 HUCKLEBERRY LANE
City: WESTON State: CT
7in Cnde' 06883
Phone 111s. 243-247 -5897
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 4250 N AIA #301
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
7;p ge6s' 34946 V1y. 772-466-3053
phone y6.772-466-2400
E-Mail: DANISEACOASTAIR@AoL.CoM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDE D Notice of Commencement is required,
DESIGNE
Name
_ Not Appli
Add
City
zip:
'te
ress
FEE SIMPLE TITLE
Name:
Stat e:
Phone:
HOLDER:_ Not Applicable
Addt
City:
zip:Phone:
I certify that no work or installation has commenced trrrior to the issuance of a permit.
St, Lucie Countv makes no representation that is sranline a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owhers ,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 uihich may apply.
In consideration of the granting of this requested pernrit, 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 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 tlommencement 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
commencins work or recordine vour Notice of Commencement.
ner/Les tractor as Agent for Orvner
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
ature of Notary Public- State of Florida )
ense Holder
STATE OF FLORIDA
I fore me
,oy
nally Known x OR Produced ldentification
of ldentification Produced
(Name of person acknowledging )
e of Florida )
q[",s::1?]"1i
Personally Known x OR Produced ldentification
Type of ldentification Produced
commission [\9. FFe61459
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPI:RVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS