HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE II,IFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 4120117 Permit Number:
Building Permit Application
Pla nn i ng o nd Deve lo p nte nt Se rvice s
Building and Code llegulation Division
2300 Virginia Avenue, l:ort Pierce FL 34982
Phone: (772) 462..1,5!;3 Fax: (772\ 462-1"578 Commercial Residential x
PERMIT APPLICAI"ION Mechanical
PROPOSED I M PROVEM ENT LOCATION :
Address: 2965 BEt\lT F,INE: DRIVE
LegalDescription:
Property Tax lD #:
Site Plan Name:
1327-701-0043-250-9 Lot No.
Block No,
Project Name:
Setbacks Front Back: __ Right Side:Left Side:
LIKE FOR LIKE I]HANGEOUT
3 TON 15 SEER 8 I(W
CONSTRUCTIOhI I I\ FORMATION :
nalworK to permrt -a ppry:
V
E
HVAC
Electric
Gas Tank Tl Gas Piping
Sp rin kle rs
Shutters
Generator
Windows/Doors
Roof t--l Roof pitchfl pt*nine tr
Total So. Ft of Construction:
Cost of Construction. S 5679.00 Building lleight:
OWN ER/LESSEE:CONTRACTOR:
Nsms SUSAN CALIVIAN Name: CHRIS LANGEL
Address:2965 BENT PINE DR Company: SEA COAST A/C
City: F I PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREFT
ZiP Code: 3495'l city: llllERcr State: FL
phone ps, 615-785-91 i)9 ZiP Code: 34946 p3x. 772-466-3053
phone Ns.772-466-2400
Fill in fee simple Tiltle l"lolder on next page ( if different
from the Owner listed above)
E-Mait: DAN ISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
DETAILED DESC]RIIPTION OF WORK:
lf value of construction iri $2500 or more, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
St' Lucie Countv makr:s no representation that is ql?lti!g a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anv a'ppliCa6le HoriiJbwhers Association rutes, bvii-wi;i;;J;;ri=h;Xi!ih.t mav restrict or prohibrt suchstructure' Please consult w'ith your uome owneis Asso'Ci-atioir";;b''€;i6f i;iii o1"o i"ilni'luriii'.ti,;nr'Wriiir.,"inr'v .dpii,""
ln 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. Lr.i" county Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swinrming pools, fences, walls, signs, screen rooms ano accessory uses to another non-residential use
HllT,'IJJ^?-TfIll ^Yg:r llilr'"""lg I:!u'|: Notice of commencement may resutt in your paying twice rorrmprovementstovourproperty.ANoticeofComme cementmustberecoi'ded.nib;;iJJ?jiiif.1.'i,iniit"before the first in:ipection,'lf ydu intend to obtain iir r.i'ii, ionsult with lender or an attorney beforeyqur Notice of Commencement. I
Revised 07115120t4
VEGETATION
REVIEW
DESTcNER/ENGtNEER: @
Ad d ress:
MORTGAGE COMPANy: Not Applicable
Name:
State:Zip: Phone:
Ad d ress:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Signature of Owner/Lessere/Con tor as Agent for Owner
STATE OF FLORIDA
COUNTY OF s;rLUcrE
rson acknowledging )
- State of Florida )
Personally Known x _ OR produced ldentificar
Type of ldentification produced
commission l\9. FFe6145s
Si gn at u retof ,6ntra cYo r/Li ce nse H o UE
STATE OF FLORIDA
COUNTY OF srLUcrE
of person acknowledging )
ature of Notary Public- State of Florida )
Known x OR Produced ldentification
entification Produced
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EXPIRE
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# FF961459