HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATNON TO BE ACCEPTED
Darc. sl\l17 permit Number:
Building Permit Application
Planninq and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, l:ort Pierce FL 34982
Phone: (772) 462--1553 Fax: (772\ 462-1,578 Commercial Residentia I x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 904 BUCKEYE DRIVE
Legal Description:
Property l'ax lD #:
Slte Plan Name:
3404-s01 -0528-000-4 I ot No.
Illock No,
Project Name:
Setbacks Front Bacl<: _ _ Right Side: __ Left Side:
I ort nrLED DESCRTP r roN oF woRr(:
I
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER,lO KW
CONSTRUCTION I N FORMATION :
lT
Windows/Doors
Roof
I otal Sq. I t of Construction:
Cost of Construction: $ 3700 00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
psps IIELEN D MARSFIALL Name; CHlilS LANGLL
Address: 4302 GREENWOOD DRIVE Company: SEA COASI- A/C
citv FT PlE[{CE- 'r ' _-__State: FL Address: 3108 INDUSI RIAL 31st STREEI
Zip Code: :499?cir'. FT PIERCE.-'r r 'State: FL
P h o n e 111s. 7 7 2-446-2699 Zip Code: :4919 V6y' 772-466-3053
p hone yXs, 77 2-466-2.400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASI AIR@AOL CoM
State or Countv License: CMC035421
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Nof
AprJIiAb|e _
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Ad d ress:
State:
Add
City
7in'*'r.
City:State:
Phone:
FEE SIMPLE TITLE HOLDER:
Na me:
.--_-- Not Applicable BONDING COMPANY:
Name:
_Not Applicable
Pho ne:
Ad d ress :ress:
City:
Pho ne:P ho ne:
I ccrtify that no worl< or installation has commenced prior to the issuance of a permit,
St. Lucic Countv mal<es no reprcscnlatlon that is p,ranlinc a pcrmit will au1:horize thc nermit holdcr to build thc subicrt structurcwhich is in conflict with anv applicablc Home owiers AsSociat:ion rules. bvlaws or and covcnanl:s that mav reslrict dr orohihiI suchstructure. Please consult with your llome Owners Association and review'your deed for any restrictions ldhich may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codcs and St, Lucie County Amendments.
The following building pcrmit applicalions are exempt from undergoing a fullconcurrency rcvlew: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory usos 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 aitornev hefnra
STATE OF FLORIDA
COUNTY OF srLUciE
STATE OF FLORIDA
COUNTY OF
ef,]RIS LANGEL
Revised 071r512014
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