HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dare. 519117 Permit Number:
Building Permit Application
P la n ni ng a nd Deve lo prn e nt Se rv ices
Building and Code Regulotion Division
2300 Virginia Avenue, Fort piercr: FL 34982
Phone: (772) 462-Ls53 Fax: (772) 462 1,5/8 Commercial Residential x
PERM lT APPLICA-l-lON FOR: Mechanical
PROPOSED I M PROVEM ENT LOC,ATION :
Address: 3380 S JENK:lNS ROAD
Legal Description:
Property Tax lD #:
Site Plan Name:
2430-233-0004-000-1 Lot No
Block No.
Project Name:
Setbacl<s Front Back: _--.-- Right Side:Left Side:
DETAILED DESCRIPTION OF WORI(:
LIKE FOR LIKE CHANGEOUT
3.5 TON 15 SEER 1O KW PACKAC}E A/C SYSTEM
CONSTRUCTION I I\ FORMATION :
'E
tr
appltl
S h utters
Generato r
ntr
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. S 4838.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
Na me HEITSHEL BtiEWS TER Name: CHRIS LANGEL
Address:3380 S JENKINS RD Company: SEA COAST A/C
City. FT PIERCE-''/ 'State: FL Address: 3108 INDUSTRIAL 31st STREE-I
ZiP Code: 34981 Fa x:clty: IIPIEICE State: FL
phone 11o. 772-979-4863 Zip Code: 34946 V2y. 772-466-3053
E-Mail:phone y1o. 772-466-2400
Fill in fee simple Title tlolder on next page ( if different
from the Owner listed above)
E-Ma il : DAN ISEACOASTAI R@AOL.Co[/
state or Countv License: CMCO3542'1
it".i* "r *Gi,,ai* it Sxo-o o,,,*";; nr=connEo ru-"ti*;ii;r;;;;;"t i;ArtA-_--
]RMATION:
DESTGNER/ENGtN
Name:
Ad d ress:
City:State:
zip:Plrone:
MORTGAGE COMPANY: _ Not Applicabte
Name::
AO d ress:
City, ..7in' Dhrarp.-__--- rrrtJl'l€i
FEE SIMPLE TITLE HOTDER: _ Not Appticable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: [\lnr Annlinrhlo
--r!vL
nyPllLoulc
Name:
Add ress:
City:_
Zip: _ -
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no repre,sentation that is qlgltjlq a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with any dppljCable Hcjr;e"b;istruciuie. p'leasetoniurt'witl"ri,j,li H'"'h'."'d;d;ii!:6':i:?iifl':",id'Hi''6,?t)BYi fJ"Ti"?%".iilJ,\?.,'Xil#?Yr,iEf,tLTrir prohibit such
ln consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes ,nO 3t. Lucie countv Amendments.
The following building permit applications arr: 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
STATE OF FLORIDA
COUNTY OF ST LUCIE
CHRIS LANGEL
(Name of person acknowledging )tu
(Signature of Notary Public- State of Florida )
Personally l(nown x OR produced ldentificatron
Type of ldentification produced
Commission l\6. FFs6145s
Revised 07115120t4
MANGROVE
REVIEW
Signature of tractor/License HolderSignature of Owner/Lessr:e/C
STATE OF FLORIDA
COUNTY OF srLUcrE
The ing instrthis day of _.,1
Personally Known x OR pro
Type of ldentificati
drRts Lnrucer
of person acknowledging )
ture of Notary Public- State of Florida )
f,." "-. . ^^*rr,,lrss$l'l # FFvo t -*
., Ail' LLlvrr"v- .-,ZC,ZC
:r!---- .. -,- " e( SQBlburv I o
fJ' E,Xrln-" .e^.virc.Nnr
-;l; MY COMMISSION # FF96145')
EXPIRES Fobruary 16, 2A2A
rent w
VEGETATION
REVIEW