HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COINPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 413117 Permit Numbe':
Building Permit APPlication
Plonning ond Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Commercial Residential x
Phone: (772\ 462-1553 Fax: (772\ 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 3901 ST I-UCIE BLVD
Legal Description:
Property Tax lD #:
Site Plan Name:
1432-221-0001-000-6 Lot No.
Blocl< No.
Project Name:
Setbacl<s Front Back: ------ Flight Side: Left Side:
DETAILED DESCRIPTION OF I//ORK:
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER SKLJ
CONSI-RUCTION I tN FORMATION :
tn rsTI
permrr -aoolv:
Vr HVAC
Electric
Gas Tank
Plu mbing
Gas Piping
S p rin kle rs
Sh utte rs
Generato r
l_l *'noo*s/Doors
E tr l-l noot
Total Sq, Ft of Construction:
Cost of Construction' $ 56?9 !9 Building Height:
CONTRACTOR:
Name: cHls14!sE_L
ComPanY: SEA COA:J A/C
Address: 3'1 08 INDUSTRIAL 31st S-l5EEf
City: FT PIERCE State: FL
ZiP Code: 34946 772-466-3053
phone yo.772 !9!409
E-Mail: DANISEACOASTAIR@AOL'COM
State or Countv License: cMco3!421
OWNER/LESSEE:
11 3 m s G EN 1 23 P89!EnIlE!_!Lc
Address:725 E {th JREEI
r-it,,' HOLLAND Strrte:Ml
ZiP Code; 49423
p hone 11s. 772-465-6006
Fill in fee simple Title Holder on nL'xt page ( if different
from tl're Owner listed above)
ftvafuu of construction is 52500 or more, a RECORDIID Notice of Commencement is required'
DESIGN
Name:
NGINEER:_ Not APPlicable MORTGAGE COMPANY:
-_
Not ApPlicable
Name:
Add ress:Ad d ress:
State:City:
7in'
State:City:Phone:zip:Phone:
FEE SIMPLE TITLE HOLDER:__ Not Applicable BONDING COMPANY:--Not ApPlicable
Name:Name:
Address:Add
City
zip:
rcsq
City:
zip:Phone:Phone:
lcertifythat no workor installation has commenced priorto the issuance ot a permlt'
St. Lucie countv maKes no representation thalis grantirrg a permit rryill a,uthorize the permit holder to build the-s^ubjelt-structure
which is in conflict with anv dpplicable Horne owribls Xss"otiaiion
-ruies,-6via"ui,loiand'ioveirint! that may restrict or prohibit such
structure. prease consurt *iti,"rior"i Horil; o;."ii'Xri&ri;k;i;ib'revi6;'ioiji oeeo for any restrictions iti'hich mav apply'
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the work
in u..oto.n.. with the ippr""EJ pf.nr, tf''" Floridi Building Codes and St. Lucie County Amendments'
The following building permit applications are exempt 1'rom undergoing a full concurrency review: room additions'
accessory structures, swrmming pools, fences, walls, si51ns, screen rooms and accessory uses to another non-residential use
yllrllJl^t?yI:T'^y:::l?il"';^l"^I::"iP;liH*'"".".:'f$Tilffi1Tl$3Yi:'i:';i f":[J;tl-,l.:'j';J3'!"
as A#tTor o\^'ner
STATE OF F\ORIDA
COUNTY OF ST LUCIE
CHnrs rnruoer
(Name of person acknowledging )
ie of Notary Public- State of Florida )
Personallv Known x OR Pr
Type of ldentification Produced
Commission No. lFj91ase
SUPERVISOR
REVIEW
Revised 07l15l2014
S'rsnature of Contractor/License H
STATE OF FLORIDA
(Name of person acknowledging )
Notary Public- State of Florida )
5WAntmunstl
ofl
The ing
this day
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