HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO N4UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc, 4124117 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2j00 Virqinia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax (772) 462-M78 Commercial Residential x
PERMITAPPLICATilON FORr Mechanical
PROPOSED IM PROVEMENT LOCATION :
Address: 17 CASA RIO
Legal Derscription:
Property Tax lD #:
Site Plan Name:
3414-501-170'1-000-8 Lot No
Block No.
Project l\ame:
Setbacks Front_-- Back: Right Side: Left Side:
L
or1uro_grrqt PloN oF woRK:
LIKE FOR LIKE CHANGEOUT
4 TON 15 SEER 1O KW PACKAGE IJNIT
CONSTRUCTION I N FO.R M,ATION :
under this permit - c aootv:
Vl HVAC
Electric
Gas Tank
Plu m bing
f]eas niping
Isprint<lers LI
Shutters
Ge nerator
Windows/DoorsTl-l noot t-- .1 Roor pitch
Total Sq. Ft of Construction:
Cost of Construction. S 4733.00 Building Height:
OWNER/LESSEE:CONTRACTOR:
Nsrns WYNNE BUILDING Name: CHRIS LANGEL
Address:'12804 SW 122nd AYE Company: SEA COAST AJC
aiiv' MIAMI-'.t'__- State: a Address: 3108 INDUSTRIAL 3'1st STREET
ZiP Code: 33186 City: FT PIERCE trl)rare:, .
p h one x1 e, ( ((J U D ITH HARLO FF 7 7 2-353-3a'97 )))ZiP Code: 34946 772-466-3053
phone y1o, 772-466-2400
Fill in fee simple Title F{older on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is 52500 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 makes no representation that is srantins a permit will authorize the oermit holder to build the subiect strucrurewhich is in conflict with anv dpplicable Home Owhers As5ociation rules, bvlaws or and covenants that mav restrict dr prohibit such
structure. Please consult With your Home Owners Association and review'your deed for any restrictions Which may apply.
In consideration of the granting of this requested permit, I do 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 for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or record ur Notice of Commencement.
Revised 0711512014
Signature of Owner Contractor as Agent
STATE OF FLORIDA
COUNTY OF srLUcrE
eo re me
2
(Name of person acknowledging )
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
sonally Known x OR Produced ldentification
pe of ldentification Produced
mmission No.
(Name of person acknowledging )
tu-re of NotarV Publii- State of FloSignature of Notary Public- State of Florida )
Personally Known x OR Produced
Type of ldentification
commission No, FFe6145s i.Jfe#l;;;'ii'1"ll:i
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS