HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 05/1112017 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-L578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1327-801-0041 -000-5 Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side:Left Side:
| ,nrrn ir n r rrrn nrl. II DETAILED DESCRIPTION OF WORK:L-, - |
LIKE FOR LIKE CHANGE OUT
4 TON. 16 SEER. FRANKLIN - 1sKW
CONSTRUCTION I N FORMATION :
a pprv:
V!HVAC
Electric
Gas Tank
Plumbing
l_lcas Pipine Sh utte rs
Generator
[--.l *'noo*s/Doors
tr l_lsprinkters tr l-l noor
Total Sq. Ft of Construction:So. Ft, of First Floor:nnUtilities: I lSewerl lSepticCost of Construction' S 6,375.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Compa ny:SEA COAST AJC
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
7in cnAo' 34946 p1y. 772-466-3053
phone 11s. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMCO354-21
Address: 3205 BENT PINE DRIVE
OWN ER/LESSEE:
N3ms HENRY LINTEL
Address:3205 BENT PINE DRIVE
Citv: FT PIERCE State:FL
?,4 0tr1r.rp Looe:
phone 11e. 772-460-1 930
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holder to build the subiect strucrure
which is in conflict with anv dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict dr prohibit suchstructure, Please consult With your Home Owners Association and review'your deed for any restrictions Which 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 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
improvements to your property. A Notice of Commencement must be recorded and posted on the iobsite
before the firstinspection, lf you intend to obtain financing, consult with lender or an attorney before
com k or recordi r Notice of Commencement.
tractor as Agent for Owner
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledging )
ture of Notary Public- St'ate of Florida )
Personally Known x OR Produced ldentification
Type of ldentification
Commission [\9. FFe41411
Signature of Contractor/License
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledging )
re of Notary
\L /UgKt l{a-
- Staterof Florida )
Personally Known x Produced ldentification
Type of ldentification
Commission [\9. FF941411
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
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