HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dare. 4119117 Permit Number:
Builrding Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virqinia Avenue, Fort pierce FL 34982
Phone; (772) 462-1,553 Fax: (772) 462-157g Commercial Residential x
PERMITAPPLICAI'ION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATI(f N :
Address: 3920 N 41A #601
Legal Description:
Property Tax lD #:
Site Plan Name:
1 423-505-00 17-000-4 Lot No
Blocl< No.
Project Name:
Setbacl<s Front----__ Bacl<: _ Right Side:Left Side:
DETAILED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3.5 TON 16 SEER 9 KW
CONS"IRUCTION INFORMATION:
tona er spe apprv:V
T
HVAC Gas Tank
Plum bing
[lea, riptng Sh utte rs
Generato r
il *,noo*s/Doors
E lect ric u l--lsp,int tu,.,tr [-l noot t--ll Roorpitch
Total Sq, Ft of Construction:Sq. Ft. of First
Utilities: l-.lr"*"r.
Floor:It"*Cost of Construction. S 6623,00 Building Height:
OWNER/LESSEE:CONTRACTOR:
Name: CHRIS LANGEL
Company:SEA COAST AJC
Address: 3108 INDUSTRIAL 31 st S'TREET
cirrr. FT PIERCE State: FL
ZiP Code: 34946 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
Name DAVID BINKLEY
Address:3920 N 41A #601
City: FT PIERCE
ZiP Code: 34949
phone y1o.772-3211324
E-Mail:
Fill in fee simple Title Holder on next page ( il'different
from the Owner listed above)
lf value of construction is $2500 or more, a RECOFIDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
St- LucieCounty makes no representation that is 5Jranting a permit will a,uthorize the permit holder to build the subiect structurewhich is in qonflict with any dpplicab[e Horyre owiiers As5ociation rules, bviiirui;i;;d;;ve;r;;iliir;t mavlestrici?i"pr6iii[it suctrstructure. Please consult with'four Home owners AssoCiation-a;a re;i6;'ioijiO"eea toi anr;'iesiri'iticjris'Wfiiit'ii.'v rdpiv,""
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 5t. Lucie Countv Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement mav result in your paying twice for
or an attornql beforecomorK or recording your Notice of commencement.
Signatureo ntractor/LicenseHolder
STATE OF FLORIDA
COUNTY OF ST LUCIE
CHRIS LANGEL
person acknowledging )
(Si{nature of Notary Public- State of Florida )
Personally Known x OR Produced ldentificatjon
Type of ldentification Proouceo
frl9. FF96
(Na
Revised 0711512014
ss on
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM P LETE
IN ITIALS
DESIGNER/ENGINEER:_ Not Applicable
Ad d ress:
State:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:Zip: Phone:
FEE SIMPLE TITLE HOLDER:
-_ Not Applicable
Name:
Add ress:
Zip: Phone:
BONDING COMPANY: Not Aoolicable
Name;
Add ress:
Zip: Phone:
STATE OF FLORIDA
COUNTY OF srLUcrE
re of Notary Public- State of Florida )
Personally Known x OR produced ldentification
Type of ldentification Produced
person acknowledging )
commission No. FFe61459 mruqil"*i:i:r li uv conrturtssloN # FF961459
EXPIRES February