HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INIFO MUST BE COMPLETED FCIR APPLICATION TO BE ACCEPTED
Dare' 415117 permit Number:
Buildirrg Permit Application
P I a n ning o nd Developnte nt Se rv ices
Building and Code fr'egu,lation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15:;3 Fax: (772) 4O--t578 Commercial Residential x
Legal Description:
Propefty Tax lD #:
Site Plan Name:
1 30 1 -606-0269-000-0 Lot No.
Block No,
Project Name:
Setbacks Front Back: __ Right Side:Left Side:
I DETAILED DESCR]PTION OF WORK:
I
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 8 KW
CONSTRUCTIOI{ I N FORMATION :
rme0 u nder perm
Y
T
HVAC
E lectric
Gas Tank l_leas rlping nTf] nt*uing Sprin klers Roof
Total Sq. Ft of Construction:
Cost of Construction: S
owNER/LESSETi:CONTRACTOR:
;13 ms DAWN VOYTA-PETERSON Name: CHRIS LANGEL
Address: 631 1 GREEN DOLPHIN STREEI'Company: SEA COAST A/C
City: FT PIERCE Stirte:FL Address: 3108 INDUSTRIAL 3'1st STREET
ZiP Code: 34951 Fax:city: FrjlERcE State: FL
phone 11s, 978-61 8-5439 ZiP Code: 34946 772-466-3053
phone Ns.772-466-2400
Fill in fee simple Title 1{older on next page ( if different
from the Owner listed above)
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of constructi<ln is 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLIC:ATlONl FOR: Mechanic6l
PROPOSED IM T,,ROVEM ENT LOCI\TION :
Address: 6311 GRETEN DOLPHIN STREE1-
NGINEER:
Name:
Address:
Sta te:
Phone:
_ Not Applicable
Ad d ress:
I certify that no worll or installation has commenced prior to the issuance of a permit.
St,. Lucie,County.makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls In contllct wrth any applicable Home Owners Association rules, bvlaws or and covenants that mav restrict or prohibit suchstructure. Please consult With your Home Owners Ass;ociation and review'your deed for any restriCtions Which ma-v applv. -
In consideration of thre granting of this reque:;ted permit, I do hereby agree that I will, in all respects, perform the work
in accordance with tire approved plans, the Florida Building Codes and St. Lucie County Amendments,
The following building permit applications are exempl from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, r;igns, screen rooms and accessory uses to another non-residential use
Signature of Owner/Lessr:e/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLL,crE
ehRts LRttcel
Signature of Contractor/License
STATE OF FLORIDA
Personally Known x OR Produced ldentification
Tvpe of ldentification Produ
f person acknowledging )
of Notary Public- State of Florida )
rfr-- -
' ^U't0to99Y "l'"':Hil;"n tu' 'o'o
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known X _OR Produced ldenti
Type of ldentification Produced
Commission No. F
Revised 0711512014
REVIEWS FFiONT
COUN-IER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS