HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 4127117 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, l.:ort pierce FL 34982
Phone: (772) 462-15:.;3 Fax: (712\ 462-1"578 Commercial Residential x
PERMIT APPLICAI'lON FOR: Mec;hanical
PROPOSED IM PROVEMENT LOCATION :
Address: 578'1 DEER RUN DRTVE 3C
Legal Description:
Property Tax lD #:
Site Plan Name:
140 Z-601-0027 -000-2
Lot No.
Block No.
Project Name:
Setbacks Front___- Back: _- Right Side:Left SidB:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 TON 14 SEER 5 KW
CONS'IRUCTIOt\J I N FORMATION :
V
T
rs permtt - c a oolv:
HVAC
Electric
Gas Tank
Plumbing
[leas eiping Shutters
Generator
Windows/Doorsl[lsp,intt.,,tr [l noor n Roorpitch
Total sq. Ft of construction:
Cost of Construction. S 4290.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company; SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FL1ERCE State: FL
ZiP Code: 34946 772-466-3053
phone y1s. 772-466-2400
E-Mail: DANISEACOASTATR@AOL.COM
State or Countv License: CMC035421
OWN ER/LESSEE:
N3ms CAROLYN StKORSKI
Address;578'1 DEER RLJN DRTVE 3C
City: fT PIERCE
7;n ando. 34951
phone 11s. (((LYNN McC;LURE TT2-519_0607)))
Fill in fee simple Title Holder on next page ( il different
from the Owner listed above)
lf value of construction is $ZSOO or rnor", , neCOn
("
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no repre.:entation that is filgltjlg^1p_gl']11it will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anv dpplicable HoriiJbwiiers Asslociation rutes, bvii*ioi;;d;;vii;;Xiiii .t may restrict or prohibit suchstructure. Please consult with riour Home owneii Asioii-aiioi';b ,€;i6;tyour deed for any restricrrons wnrcn may appty.
ln consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building cooes ano"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, r.r..n room, 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
i ce of Co m m e n;"";;;i ;;;' b;' ;;;'' =1";;i
6;:i Ji tJ ;td::';d;i"d trr_ob"tain financing, consult with I r or an attorney uui6i"otir:e of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEWDATE
COMPLETE
IN ITIALS
Add ress:
NGINEER: -- Not Airptict6iE MORTGAGE COMPANy:
--
Not Applicable
Name:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicabte
Name:
Address:
Zip: phone:
BONDING COMPANy: --Not Applicable
Name:
Zip: Phone:
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging ;
Personally Known x OR produced ldentificatlon
Type of ldentification produced
Commission l\9. FFs6'145e
(Name of person acknowledging )
State of Florida )
nally Known
of ldentification Produced
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