HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED
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FOR APPLICATION TO BE ACCEPTED
Permit Number:
Bu ildirng Permit Application
Plonning ond Development Servrces
Building ond Code Regulation Dlvision
2300 Virginia Avenue, Fort pierce FL 349g2
Phone: (772) 462-1,553 Fax: (772) 462-L578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 3'1 LA PUERTE DEL NORTE
Legal Description:
Property Tax lD #:
Site Plan Name:
'1 30'1 -1 1'l -0001 -000-5
Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 10 KW PACKAGE A/C S;YSTEM
CONSTRUCTION I N FORMATION :
pe|m tt - c
tr
Gas Tank
Plum bing
!T
Gar; Piping
S prin l<le rs I IT Windows/Doors
Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities; l-l r"*u, I t"*Cost of Construction. S 5146.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
Nsmg WYNNE BUtLDtNG Name: CHRIS LANGEL
Address:12804 SW 122nd AyE Company: SEA COAST A/C
^El5tate:' 'Address: 3108 INDUSTRTAL 31st STREET
ZiP Code: 33186 Fax:City: FT PIERCE State: FL
phone 11s. (((Bl SSON ETTE 450-233-27 49)))ZiP Code: 34946 p1y' 772-466-3053
E-Mail:phone y1s. 772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTATR@AOL.COM
State or County License: CMC035421
DETAILED DESCRIPTION OF WORI(:
Jdttronal wo
Zruo.
appry:
Shutters
Generator
|fva|ueofconstructioniss25ooormore,'RecoRortlruoti.@
Address:
LAW INF
ica ble MORTGAGE COMPANY:_ Not Applicable
Name:
Ad d ress:
Strate:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
Add
City
zip:Phone:
I certify that no work or installation has commencecl prior to the issuance of a permit.
St., Lucie County.makes no representation that is grarrtjng a permit will a.uthorize the permit holder to build the subject structurewhich is in conflict with any dpplicable Home owhers As5oclation rules, bvii-wi;i;;d;;viih;;i;ih;i miv"restriciir"proiiiiriti'ucf,structure. Please consult with iour Home Owners Association and review'yori deed foi ant ieslriCtio-ns vifiiitr'mjv ailpiv,""
In consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin 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 accessorV uses to another non-residential use
STATE OF FLORIDA
COUNTY OF srLUcrE
CI-IRIS LANGEL
COMPANY: _Not Applicable
Signature of Owner/Les br as Agent for C)wner Signature of Contractor
STATE OF FLORIDA
OR Produced ldentification
pe of ldentification Produced
mission \16. FFe6145e
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
RftHf;,:hilsil'::Jffi;;'-*:::lLll;"l TVESEHIAH
.*iblit' I "u**'ta'o*
# FF96145s
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known X OR produced ldentificarron
Type of ldentification Produced
commission No. FFe61459
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUF ERVISOR
R[VIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS