HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, 5/3/17 Permit Number:
Building Permit APPlication
P I a nni ng o nd Deve lopm c rtt Se rv i ce s
Building and Code Re,cTulation Division
2300 Virgltnia Avenue, Fort Piercr: FL j4982
Phone: (7121462-t:;53 Fax: (772) 462-L578 Commercial Residentia I x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 170 BOYD ROAD
Legal Description:
Property Tax lD ll:
Site Plan Name:
2212-500-0005-000-7 l-ot No
Blocl< No.
Project Name:
Setbacks; Front Bacl<: -_--- Right Side:Left Side:
DETAILED DESCRIPI-ION OF WORI(:
LIKE FOR LIKE CHA.NGEOUT
3 TON 14 SEER 1O KW
CONSTRUCTION I N FORMATION :
Roof pitch
Total Sq. l-t of Construction: .-
Cost of Construction' S lq8l9o Building Helght:
OWN ER/LESSEE:CONTRACTOR:
N3ms BURNSED PROPERI llls Name: CHRIS LANGEL
Address: 170 BOYD ROAD Com pany:SEA COAST AiC
citv' FT PIERCE I:IState:' *Address: 3108 INDUSTRIAL 31 st STREil
ZiP Code: 34945 Ctv F T PIEROE State: FL
p hone 11s. 77 2-467 -2620 Zip Code: ?49!9 F ax:t72-466-3053
E-Mail:phone 1\s. 77 2'466-2400
Fill in fee simple Title flolder on next pager ( if different
from the Owner listed above)
E-Mait: DANISEACOAST4II@4e! teY
State or Countv License: CMCo35421
lf value of construction is SZSOO or more, a RECORDED Notice of Commencement is required'
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _-:- Not Applicable
Name:
Ad d ress:
City:
zip:
State:
Phone:
MORTGAGE COMPANY Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone
FEE SIMPLE TITLE
Name:
HOLDER: --
Not Applicable
Ad d ress:
Citrt'
L' v.Phone:
BONDING COMPANY:
-Not
APPlicable
Name:
Ad d ress:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv mal<es no representation that-is granting a permit will a,uthorize the permit holder to build the subject structure
which is in conlict wttr a"nvTpdti;;6le'Hofi;b"nfib?r'XrBotirli"'.'iil;i;biiiwf oiand coveibnts that mav restrlct or prohibit such
iiiiiir.ii,i,'pf .a'ii ioniufiwit["'io;r H;me owneiis allof'atffii'iO revi6w'voiji Oeed for any restrictions r,rihich mav applv.
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 ipproved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exemptfrom undergoing a full concurrency review: room additions,
accessory structures,-swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ilgnature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
CHRIS LANGEL
Personally Known x OR Produced ldentification
of ldentification Produced
1 |\9, FF961459 (seel
Revised 0711512014
MANdROVE
REVIEW
Sign-atuie of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
edge re me
,ol
of person acknowledging
re of Notarv Public- State of Florida )
Personallv Known x OR Produced ldentification
Type of ldentification Produced
Commission l\e, FFs6145e
acknowl
Itilq,=
VEGETATION
REVIEW
SEA TURTLE
REVIEW
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
DATE
COMPLETE
person acknowledglng )
of Notary Public- State of Florida )