HomeMy WebLinkAboutBUILDING PERMITs#ssslt$dy
ALL APPLICABLE INFO MUST BE COMPTETED IOR APPLICATION TO BE ACCEPTED
DaIe, 2t24117 Permit Number:
Bu ild i ng Pe rm it Application
Plonning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1.553 Fax: (7721 462-1,518 Commercial Residential x
PERM IT APPLI(]ATION FOR:Mechanical
PROPOSED IMPROVEMENT LOCATIOI'l:
Address: 9426 POINC|ANA COURT
Legal Description:
Properl.y Tax lD #:
Site Plan Name:
1 334-503-001 0-000-6 Lot No.
Block No.
Project Name:
Setbacks Front Back:
-.-"
Right Side:Left Side:
LIKE FOR LIKE ISHANGEOUT
3.5 TON 16 SEER 1O KW
CONSTRUCTIOllI I N FoRMATIoN :
ton permtt - c appty:VrHVAC
Electric T Gas Tank
Plumbing
rrGas Piping
S p'rin kle rs
Shutters
Generator
l-l *,non*s/DoorstrIRoof Roof pitch
Total sq, Ft of construction;Sq, Ft. of First Floor:
Utilities: [-lr"*u, Er"Cost of Constructior.l. S 5610.00
CONTRACTOR:
N2mg CHARLES LENTS Name: CHRIS LANGEL
Address : 9426 POI NCTANA COURT Company: SEA COAST A/C
City: FT PIERCE
ZiP Code: 34951
State: FL Address: 3108 INDUSTRTAL 31st STREET
City: FT PIERCE State: FL
phone 51s. 77 2-461 -4841 ZiP Code: 34946 p6y. 772-466-3053
phone y1s. 772-466-2400
Fill in fee simple Titile Holder on next page ( if different
from the Owner listed above)
E-Mait: DANISEACOASTATR@AOL.COM
State or County License: CMC035421
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEE:
lf value of construction is $2500 or more, a RECoRDED l,lotice of Commencement is required,
I certify that no work or installation has commencerl prior to the issuance of a permit.
st' Lucie countv mal<es no representation that is qnltjlg^1p-g.rqitwill autlrorize the permit holder to build the subiect strucrurewhich is in conflict with anv dppllCa6fe HoriiJbwhers As5ociation rutes, bviiwi;i;;d;irr6;;Xi!ihrt may restrict or prohibit suchstructure. Please consult with'!our Home owneii A!;;;iatic,;i;;b're;i6#'i"iji a"eea'ioirnli'Lri?i'.tion, which may apply.ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Euilding cooeraiJEt. 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
ement may result in your paying twice forst be recorded and posted bnlhe jobsite
ult with lender or an attorney before
Revised 07115120t4
SUP ERVISOR
REVIEW
SU PPLEM ENTAL CONSTRUCTION LIEI! LAW INFORMATION:
DEs I G N E R/E NG I N E ER : -- _ N"t Ap p-l ica b I e-
Name:
Ad d ress:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicabte
Name:
Ad d ress:
Zip: Phone:
MORTGAGE COMPANy: Not Applicable
Name:
Address:
Zip: Phone:
BONDING COMPANy: _Not Applicable
Name:
Zip: Phone:
Signature of OwneT tractor as Agent for
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
(Signature of Notary puOlic- Stjte oi f torlOa t
Personally Known X OR produced ldentification
Type of ldentification produced
commission No. FFe6145e
Signatuie of Contractor
STATE OF FLORIDA
(Name of person acknowledging )
re of Notary State of Florida )
Personally Known x OR produced ldentificatlon
ntification Produced
EXPIRES February 16.