HomeMy WebLinkAboutBuilding Permit Application (2)ALL APPLICABLE II{FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Daft. 2127117 Permit Number:
Building Permit Application
P la nni ng a nd Deve l' opme nt Se rvices
Building and Code llegulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-Is53 Fax: (772) 462-L578 Commercial Residential x
PERM IT APPLICATION FOR:
PROPOSED IMP,ROVEMENT
Address: 8909 CHAMPIONS WAY
LegalDescription:
Property Tax lD #:
Site Plan Name:
3334-501 -0029-000-2 Lot No
Block No.
Project Name:
Setbacks Front Back: Rieht Side:Left Side:
I
I DETATLED DESCRTPTTON OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 1O KW,1{J SEER
CONSTRUCTION I N FORMATION :
permit -a pplv:
VI HVAC
E lectric
Gas Tank
Plu m bing
l---lcas niping S h utte rs
Generator
TI-Windows/Doors
Roof tl Roor pitchtrl--lsprinkters tr
Total So. Ft of Construction:Sq. Ft. of First
Utilities: l-lr"*"r.
Floor:
Et"*Cost of Constructic,n. S 6431.00 Building Height:
OWNER/LESSEE:CONTRACTOR:
Nsmg VINCENT PRIORE
Address: 8909 CHhMPIONS WAY
6;1u' PORT ST LUCIE State: FL
ZiP Code: 34986 Fax:
phone Ns.772-489-4867
E-Mail:
Fill in fee simple Title Holder on next page ( if dlifferent
from the Owner listed above)
Mechanical
LOCATIONI:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
Citv: FT PIERCE State:FL
ZiP Code: 34946 S1y. 772-466-3053
p hone 116. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required,
SUPPI-EMENTA.L CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGlltlEER: _- Not Applicable
Name:
ress:Add
City
zip:
State:
Phone
MORTGAGE COMPANY: Not Aoolicable
Name:
Ad d ress:
City
Lip:
State:
Phone
Add
City
zip:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
ress:
Phone
BONDING COMPANY: Not Aoolicable
Name:
Address:
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 erantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Ow6er:; Asiociation rules, bvlaws or and covenants that mav restrict <ir prohibtt sucn
structure. Please consult With your Home Owners Association and review'your deed for any restrictions r,tihich may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, 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 recordi ur Notice of Commencement,
Signature o
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Pr
Type of ldentification
Commission [\e. FFet)
ature of Contractor
STATE OF FLORIDA
Personally Known x OR Produced ldentification
Type of ldenti
Commission \6. FFe6
(Name of person acknowledging )
-ure of Notary Public- State of Florida )
Mv g0[tMl$$lt"' ].'"^,nzo"ExC$€EF"ITJ;MY coMi4lsEiJqN # FFe6145e
EXPIREg rendary 16' 2020
Revised 0711512014
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