HomeMy WebLinkAboutBuilding Permit ApplictionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/9/17 Permit Number:
Building Permit APPlication
Plonning and Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772\ 462-L578 Comnrercial Residential x
PERMITAPPLICATION FOR: Mechanical
Arlrtress. '1 756 GOLDEN PONDS DRIVE
Legal DescriPtion:
2303-21',l-0025-000-5 Lot No
Propefty Tax lD #:
Block No.
Site Plan Name:
Project Name:
Setbacks Front Back:
-_---_
Right Side:Left Side:
DETAILED DESCRlPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 15 SEER 1O KW PACKAGE A/C SYSTEM
tnrs permlr - c1
l-lcas niping
apply:
l-l *'noo*s/DoorsY
T
HVAC
Electric E
Gas Tank
Plu m bing l_lsprintters tl
Sh utte rs
Generato r Enoor E Roorpitch
Total Sq, Ft of Construction:Sq. Ft, of First Floor:
utirities:ESewerEt"*Cost of Construction: $ 4356'00 Building Height:
OWNER/LESSEE:CONTRACTOR:
Name: cHnls r4IsA
CompanY: SEA COAST A/C
Address: 31 08 INDu!rn!A!3 !
s|slnflr
LITV: ' '
trl5tare:' *
ZiP Code: 34946-Fax:772-466-30s3
phone No.772-re9!a0!
E-M ait : DAN lsEACe4gI4l R@19!€9Y
State or County License: CMC035421
PROPOSED I M PROVEMENT LOCATION :
CONSTRUCTION I N FORMATION :
aRECoRDEDNoticerrfCommencementisrequired'
Name PERISHING MOBILE HOME SALES
Address:901 NW 31st AVE
611y: PoMPANo PE49!State: FL
ZiP Code: 33069
Phonertro.(((GER@
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I certify that no work or installation has commenced prior to the issuance of a permit'
st, Lucie county makes no representation that is granting a permit will a,uthorize the permit holdel to build.the.s^ubject structure
which is in conlict with anv dpplicable Horle owribii'XsSoiiaiioniuies,-6viiwfoidn{tovbhbntsthit mav restrict or prohibit such
structure. please consurt witi"r|" jiFr'omd o*neir'Xs'dci;t-r,ii;;'d'revi6w'yoiji dedd foi any restrictions which mav apply'
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ,i.orOun." with the ipprouEJ pLns, th'e 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 p?ying fwige,for
improvements to your property. A Notice of commencement must be recol'ded and foosted on the jobsite
before the first inspection, lf you inteno to outiin iinancing, consult with lender or an attorney before
commencing work or recording vour Notice of comme,ncement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
MORTGAGE COMPANY:
-
Not APP|icableDESIGNER/ENGINEER:Not Applicable
Add ress:
BONOINA COMPANY:
-Not
APPlicable
Name:
FEE SIMPLE TITLE HOLDER:
-
Not APP|icable
Add ress:
Zip: Phone:
The forgoing instrument was acknowledged before me
trris lC uf ot t\Ao , \ , zo 11 bv
o
(Name of person acknowledging )
Signature of Contractor/Licen
STATE OF FLORIDA
J|': iK[" :;"|[[fl '..*;' "n""* l"t8"ffJ;'"'"
(Name of person acknowledging )
gnature of NotarY Fublid- State of Florida )
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
Sienature of Owner/Lessee
STATE OF FLORIDA
nature of t"totiry Public- State of Florida )
PersonallV Known OR Produced ldentification
Type of ldentification Produced
MY coMMtsstoN # FF cti;i