HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETEDI FOR APPLICATION TO BE ACCEPTED
Date. 5/8/17 Permit Number:
Buikling Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pie-rce FL i4982
Phone: (772) 462-L553 Fax (772) 462-157i3 Commercial Residentia I x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 6549 NUEVO LAGOS
Legal Description:
Property Tax lD #:
Site Pian Name:
'1306-500-0117-000 0 Lot No,
Blocl< No.
Project Name:
Setbacl<s Front Back:Right Side: Left Side:
I or rnrLro DESCRII_II_oN gjlyon(:
I-IKE FOR LIKE CHANGEOUT
2,5 TON 16 SEER 5 KW
CONSTRUCTION I N FORMATION :
rtronalworl( to a ppry:
Z nuo.
[- l e tect,i.
Gas Tank
Plu m bing
T-t^I lbas Prprng
tlL-I
S h utte rs
Generator
[--l *,noo*s/Doorstr[]sp,int,tu,.,tr
Total Sq. Ft of Construction:
Cost of Construction: S
Sq, Ft, of First Floor:
utilities: [---lru*u, E t"*Building Height:
OWN ER/LESSEE:CONTRACTOR:
Name KENI- BURNESS Name: CHRIS LANGEL
Address: 6549 NEEVO LAGOS Company: 9EA go-ASU\{c
cii'' FT PIERCE
-''l 'State: FL Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 319s1 City: lI IIEFCE State: FL
p h o ne 11s.'/ 32 267 -27 2.7 ZiP Code: 34946 p3y' 772-466-3053
P hone 1116. 77 2-466-2400
Fill in fee simple Title Holder on next page ( iif different
from the Owner listed above)
E-Mail : DAN ISEACOASTAI R@AOL.COM
State or Countv License: CN/C035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
MORTGAGE COMPANY:
Name:
-: Not Applicable
State:
Zip: Phone:
DESIGNER/ENGINEER: Not Arrplicable
Name:
Ad d ress:
Phone:
FEE SIMPLE TITLE HOLDER: Not Aoplicable BONDING COMPANY:
Name:
_Not Applicable
Add
City
zip:Phone:
I certify that no worl< or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantinq a permit will authorize the permit holder to build the subiect structurewhich is in contlict with any applicable Home Owners As5ociation rules, bvlaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any restrictions uihich may apply,
In consideration of the granting of this requested permit, 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 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
improve.ments to your property. A Notice of Commencement must be recorded and posted bn ihe jobsite
before the first inspection. lf you intend tq obtain financing, consult with lender or an attorney before
commencinc work or recordingryour Nolide of Commencement.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
CHRIS LANGEL
(Narae of person acknowledging )
ure of Notary Pu - State ofFloiida )
Personally Known OR Produced ldentificatiorr
Type of ldentific
Commission No,
X:._
Revised 0711512014
VEGETATION
REVIEW
MANGROVE
REVIEW
S i gn atu rt-6f Ow n e r/Less ntractor a(Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUC|E
(Name of person acknowledging )
gnature of Notary Public- State of Florida )
Personally l(nown x OR Produced ldentification
Tvpe of ldentification Produced
Commission [\9. FFeo
EFYtn-- ..,,"^Se.W9.$)
eXPtAeS FehruarY 76' 2o2o