HomeMy WebLinkAboutRevisionALL APPLICABLE II!FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 4120t17 Permit Number:
& rSl-P
Building Permit Application
P la n ni ng a nd Developrne nt Se rvice s
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721462-1553 Fax: (772\ 462..1,578 Commercial Residentia I x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1327 -7 01 -0043-250-9 Lot No
Blocl< No.
Project Name:
Setbacks Front___ Back: _ Right Side: --__--- Left Side:
DETAILED DESCR]PTION OF WOITK:
LIKE FOR LIKE CHANGEOUT
3 TON ,15 SEER SI(W
CONSTRUCTIOI\II\FORMATION:
tional work to s perm tt -
Z ruo.
f rtu.tri.
Gas Tank ft^I l\ras Hlplng S h utte rs
Generator
l-l *,noo*s/Doors
f] ptrrnine Sprinklers tltl |-] noot n Roorpitcrr
TotalSq, Ft of Construr;tion:
Cost of Construction: $ 5679.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREFT
citv. FT PIERCE EI5tate: I L
ZiP Code: 149!6 S1y. 772-466-3053
phone 1\s. 772-466 2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of constructicln is $2500 or more, a RECORDED Notice of Commencemunt it r.qri*a.
w%M
Address: 2965 BEI\JT FrINE DRIVE
OWNER/LESSEE:
J16ms SUSAN CALMAN
Address:2965 BENI PINE DR
City: FT PIERCE
ZiP Code: 34951
phone 11s, 6'1 5-785-91 39
E-Mail:
Fill in fee simple Title lJolder on next page ( if different
from the Owner listed above)
LAW INFORMATION:
DESIGNER/ENGIhIEER: Not Applicable
Name:
Address:
City:State:
zip:Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: Not Apolicable
Name:
Address:
City:
zip:P hone:
I certify that no worl< or installation has commenced prior to the issuance of a permit.
St,' lucie County makes no repre.sentation that is granting a permit will authorize the permit holder to build the subiect structurewhich is in-conflict with any a'pplicable Home owfieis AsEociiiion iui;i,-dii;w;oi;;J;itv;h;;iiihat mav restrict or prohibiiiu'chstructure. Please consult with'your Home owners AssoCiatioh-ano revi6w voiji,ieeo ioiin1l'iesir1'iticjns'triiit,'iniv iilptv.""
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie county 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 may result in your paying twice forimprove,ments to your property. A Notice of Commencement must be recoided and iosted bn"the loOsitebetore the tirst inspection, lf.you intend to ob-tain financing, consult with lender or an attorney beforecommenclrk or recording yeur Notice of Commencement,
Revised 0711512014
VEGETATION
REVIEW
MANGROVE
REVIEW
Signature of Owner/l-essee actor as Agent tor Owner
STATE OF FLORIDA
acknowledging )
nature d'f Notar Public- State of Florida )
Personally Known x _ OR Produced ldentificatio
Type of ldentification Produced
commission f\e. FFe6145e
STATE OF FLORIDA
COUNTY OF srLUcrE
f person acknowledging )
gnature of Notary Public- State of Florida )
Known X OR Produced ldentification
tification Produced
# FF961459