HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE II\IFO MUST BE COMPLETED FC}R APPLICATION TO BE ACCEPTED
Darc. 416117 Permit Number:
Buildirrg Permit Application
Pla n ni ng a nd Deve la pn,te nt Se rv ices
Building and Code Regulation Division
2300 Virginia Avenue, f:ort Pierce FL i4982
Phone: (772) 462-L5:;3 Fax: (772) 462-L578 Commercial Residential x
PERMITAPPLIC:ATION FOR: Mechanicgl
PRO POSED IM F'ROVEM ENT LOCI\TION :
Address: 4102 SAN Dll=GO AVENUE
Legal Description:
Property Tax lD #:1 431 -801 -001 2-000-3 Lot No
Site Plan Name:Block No.
Project Name:
Setbacks Front
t--
I DETATLED DESC.RTPT|ON OF WORK:
LIKE FOR LIKE (SHANGEOUT
5 TON 16.5 SEER 1O KW
II\FORMATION:
perm
V
E
HVAC
E lectric
(ias Tanl<l-leas eiping Ttr
Windows/Doors
Rooff] nt*ning l-lsp rint<ters tr-Generator
Total So. Ft of Construr:tion:So, Ft. of First Floor:l--l nUtilities: I lSewer I lSeptic Building Height:Cost of Construction' S 7113.00
owN ER/LESSEtl:CONTRACTOR:
N3ms DENNIS HEA[)Name: CHRIS LANGEL
Address:4102 SAN DIE:cO AVE Company: SEA COAST A/C
City: F'l PIERCE St;ate:FL Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 34946 _--_ Fax:FT PIERCE State: I L
phone y1s.772-370.-6614 OR 772-801-4334 ZiP Code: 34946 p3y' 772-466-3053
E-Mail:phone Ns.772-466-2400
Fill in fee simple Title lHolder on next page ( if diifferent
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03542'1
CONSTRUCTIOhI
lf value of constructiion is $2500 or more, a RECORDIlD Notice of Commencement is required.
ENGINEER:
FEE SIMPLE TITLE
Name:
_ Not Applicable
Ad d ress:
MORTGAGE COMPANY: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 eranting a oermit willauthorize the oermit holderto build the subiect strucrure
which is in conflict with anv dpplicable Home Owders AsSociation rules, bvlaws or and covenants that mav restrict cir orohibit such
structure. Please consult With your Home Owners As:;ociation and review'your deed for any restrictions rdhich may apply.
In consideration of the granting of this reque:;ted 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 perrmit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, l;igns, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Recordl 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 insperction. lf you interrd to obtain financing, consult with lender or an attorney before
commencing woak or recordi ur [\otice ,cf Commencement,
gnature o tor as Agent for Owner Signature of tractor/License toer
STATE OF FLORIDA
COUNTY OF srlucrE
STATE OF FLORIDA
COUNTY OF ST LUCIE
CHRrs LnNoel CHRIS LANGEL
of person acknou'ledging )f person acknowledging )
(Sign a e'of Notary Pu - State of Florida )gnature of Notary Public- StatE
Personally Known x __ OR Produced ldentificat nally Known x OR
Type of ldentification Produced ldentification Produced
commission |116. FFe6.l45e mmission [\9, FFso
SUP ERVISOR
RI:VIEW
VEGETATION
REVIEW
Revised 0711512014