HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 4112117 permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: ('772\ 462-1553 Fax: (772) 462-'-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mecharrical
PROPOSED IM PROVEMENT LOCA.TION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1 425-600-0064-000-6 Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
Lr]lfrgErlryLgNglvgl!
LIKE FOR LIKE CHANGEOUT
.5 tofri 15 s.tw 5'f-rt
CONSTRUCTION I N FORMATIO]\ :
permrl - c appty:
Y!HVAC
Electric
Gas Tanl<
Plumbing
T Gas Piping
tr
S h utte rs
Generator
u
T-
Windows/Doors
Roof t -] Roof pitchtrl-lsp,inLt",.,
Total Sq, Ft of Construction:
Cost of Construction. S 4765.00 Building Height:
CONTRACTORT
N13rns ERIC BORCSOK Name: CHRIS LANGEL
Address:3200 N A1A #708 Company: SEA COAST A/C
City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31 st STREET
ZiP Code: 34948 Fax:FT PIERCE
phone 11e. 502-376-0452 (BRAD RAMSEY)ZiP Code: 34946 p1y. 772-466-3053
E-Mail:p hone y1g. 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mait: DANISEACOASTAIR@AOL.CoM
State or Countv License: CMC035421
Address: 3200 N 41A #708
OWNER/LESSEE:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:
zip:
litate:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name
Addr
City:
CSS
Zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is srantine a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Own-ers AsSociation rules. bvlaws or and covenants that mav restrict rir 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 ;cermit, 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 fullconcurrency 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
cins work or recordins vour Notice of Comcommencrng worK or recordtng vour CC mencemenr
uz %, fu/A- s
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
EiiRIS LANGEL
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF srLUCIE
CHRIS LANGEL
(Name of person acknowledging )(Name of person acknowledging )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission f!6. FFe61a5e
(Signature of Notary Public- State of Florida )
roduced ldentification
Revised 0711512014
REVIEWS FRONT
COUNT'ER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS