HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 3123117 Permit Number:
Bu ilding Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL i4982
Phone: (772) 462-Ls53 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanic:rl
PROPOSED IM PROVEMENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
2308-1 32-0003-000-8 Lot No,
Block No.
Project Name:
Setbacks Front Bacl<:
-_
Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2.5 TON 14 SEER 8 KW
CONSTRUCTION I N FORMATION :
s per-mrt -apprv:
V
T
HVAC
E lectric
Gas Tank
Plu m bing
l-leas eiping S h utte rs
Generator
[_l *'noo*s/Doorstrl-lsprinkters tr [-l noor
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities: l_lr"*.r. Et"*Cost of Construction' S 4357.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3'108 INDUSTRIAL 3'1st STREET
City: FT.IIERCE State: FL
ZiP Code: 349-46 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
Address: 300 NORTH BROCKSMITH ROAD
OWN ER/LESSEE:
Jlsms DANIEL STUBBS
Address:300 N BROCKSMITH RD
cir,. FT PIERCE State: FL
7in CnAo, 34945
phone 11s,772-370-.5631 MARGARET RUNNION
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
DESIGNE
Name:
ENGINEER:_ Not Applir:a
Ad d ress:
City:Sta te:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 srantins a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anV dpplicable Home Owiers Ass'ociation rules, bvlaws or and covenants that mav restrict <ir prohibit suchstructure. Please consult with iour Home Owners Association and review your deed for any restrictions rnihich may apply.
In consideration of the granting of this requested perrnit, ldo hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida BLrilding Codes and St. Lucie County Amendments.
The following building permit applications are exemp: from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, s;igns, 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
improvementsto 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
wner
commencing work or recordi ur Notice of Commencement.
STATE OF FLORIDA
COUNTY OF srLUcrE
Cl-rRrs rnnceL
Signature of Contractor
STATE OF FLORIDA
(Signature of Notary Public- State of Florida )
ly Known x OR P
of ldentificatio
(Name of person acknowledging )
i:""",:H'ffii1,:::;.,'il$ij Y$FT#; ; ;*'"
:-,. : j
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Revised 0711512014
Personallv Known X OR Prod
Type of ldentification Produ
commission l\e. FFe6145e
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS