HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE II\JFCJ MUST BE coMPLETED FOR APPLICATIoN To BE AccEPTED
Darc. 4t12t17 Permit Number:
Buildirng Permit Application
P I a n n i ng a nd Developnte nt Se rvices
Building ond Code Regulation Division
2300 Virginia Avenue, l=ort Pierce FL 34982
Phone: (772) 462-L5:J3 Fax:1772) 462-1.518 Commercial Residential x
PERMIT APPLICAI-ION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 1 NUESTRA ISLA
Legal Description:
Property Tax lD #:
Site Plan Name:
1 30 1 -'1 '1 1 -000 1 -000-5 Lot No,
Block No.
Project Name:
Setbacks Front Right Side:Left Side:
LIKE FOR LIKE (]HANGEOUT
4 TON 14 SEER 8 KW PACKAGE UNIT
CONSTRUCTION I hI FORMATION :
to be qeformed under tn rsTtr
permtt -appry:Zruo. f] c* runrl--l r
L--l Electric L] e ,rf ng
Total Sq. Ft of Consl ruction:
Gas Piping
S p rin kle rs tr
S h utte rs
Generator
l_--l *,noo*s/Doors
l-l noor
Cost of Construction. g 4200.00
Sq, Ft. of First Floor:
Ut t es: l--lru*", E t"*Building Height:
owN ER/LESSEF.:CONTRACTOR:
J13ms WYNNE BUILDtNG CORP Name: CHRIS LANGEL
Address: 12804 SW 122lnd AVE Companv: SEA COAST A/C
cit',' MIAMI Sterte:FL Address: 3108 INDUSTRIAL 31 st STREET
ZiP Code: 33186 City: FT PIERCE State: FL
p h on e X1 e, ( ((ANTH O NY G I U STI N O 7 T 2-468-232 2)))ZiP Code: 34946 pry. 772-466-3053
Phone 111s. 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different I f-Vrit' DANISEACOASTAIR@AOL.COM
from the Owner listed above)State or CountV License: CMC035421
lf value of construction is $2500 or more, a RECoRDED Notice of Commencement is required,
DETAILED DESCRIPTION OF WORK:
I certify that no worl< or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no repre,sentation that is glaltjng a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with any a'ppllcatJle uoriiJowhers As5ociation rutes, bvii"wi;i;;d;lr"l=;r;Xi!ih.t mav restrict or prohibrt suchstructure' Please consult with'four Home owners Asr;ociation a;; ru;i6;'i;iiia"eeO i"ilri i"riii'.ti,i., i,Iriiii'i"i'v .dpiv. "
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building codes and it. Lu.i" couniy Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, r;igns, screen rooms ano 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
[:Pj:^":L"ll'.1:^v^"^rj,ploq9ily.+ ry.t199 orcommencement must b; ;e;;ld;i;;i b;;iJJl,iiir.l.'iJoiit"before the first inspection, lf ydu intend to obtain iinrniinE, ionsult with lender or an attorney beforecommencing work or recording your Notice ,cf commenceilient.
Signature of Owner/Lessr:e/Contractor as Agent for Owi-Ei--
STATE OF FLORIDA
COUNTY OF srLUcrE
ehRrs rnnceL
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x
--
OR produced ldentification
Type of ldentification produced
Commission [\q, FFe6145e
DESIGNER/ENGINEER:_ Not Applica
Address:
State:
FEE SIMPLE TITLE
Name:
HOLDER: _ Not Applicable
Address;
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
State:Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone:
Signature of Contrdttor/License H
STATE OF FLORIDA
COUNTY OF
CHRIS LANGEL
(N f person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR produced ldentification
of ldentification Produceo
mission l\9. FFs6145e
Revised 0711512014
;:?:ffi;*-l::'iU:'
Ylilir':"'!r|!S,
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
RE\/IEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW