HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLE'TED FOR APPLICATION TO BE ACCEPTED
Darc. 4127117 Permit Number:
Bu ilding Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, t:ort pierce FL 34982
Phone: (772) 462-1,5:;3 Fax: (7721 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED I M PROVEMENT LOCATION :
Address: 10316 CROSBY PLACE
Legal Description:
Property Tax lD #:
Site Plan Name:
3327 -709-0042-000-5 Lot No
Block No.
Project Name:
Setbacks Front Right Side; Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
5 TON 16 SEER 1O KW
CONSTRUCTION INFORMATION:
onal work to ormeo unoer rs permit -appty:V
T
HVAC
E lect ric
Gas Tank
Plumbing
[]eas eiping Shutters
Generato r
TT
Windows/Doors
Roof t--- I Roor pitchT[]sp,intt*,,n
lotal Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities: l-l r"*u, ! t"m--Cost of Construction. S 7383.00
OWNER/LESSEE:CONTRACTOR:
Nsms WILLIAM S'|AUB Name: CHRIS LANGEL
Address: 10316 CROSBY PLACE Company: SEA COAST AJC
City: PORT ST LUCIE State: FL Address: 3108 INDUSTRIAL 3'1st STREET
ZiP Code: 34986 Fax:City: FT PIERCE:State: FL
phone p6. 772-466-438{3 ZiP Code: 34946 V2^. 772-466-3053
phone y1s. 772-466-2400
Fill in fee simple Title Holder 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 $2500 or more, a RECoRDED Notice of commencenrept is r;qrir"d.
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewhich is in conftict with any dpptiCabfe Home owfiei;;is3;iaiio;'iri;i;diiaw;;i:;J;;v;;r;;iiiiril,irlv"reiiricitib'roii.,T,li suinstructure. Please consult with'!our Home owners assoCiation-ano revi6ri'voiii deed'fo; a;i ieitiiit'ons wnrcn may appry.
In 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 Codes and it. Lucie Countv 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 forimprovements to your propertv. A Notice of Commencement must be rec.rid"d and nosted hn'in" i"r,iite
Revised 0711512014
REVIEWS FRON'T
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENGINEER: _ Not AppiTcabiE MORTGAGE COMPANY:
-_
Not Applicable
Name:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Ad d ress:
Zip: Phone:
Signature wner/Lessee/Contractor as
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR produced ldentification
Type of ldentification Produced
Commission No. FFs6145s
STATE OF FLORIDA
of person acknowledging )
ure of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
i.' EXFTRES February 16, ZO2A
'!! FlorrdsNota^/Se.vic€ corr