HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MIJST BE COMPLETE]D FOR APPLICATION TO BE ACCEPTED
Darc. 5115117 Permit Number:
Building Permit APPlication
Planning and Development Services
Burlding and Code Regulation Division
2300 Virgtnia Avenue, Forl Pierce FL 34982
Phone: (772\ 452-L553 Fax: (772) 452-1578 Commercial Residential x
Legal Description:
Propefty Tax lD #:1 306-1'1 1..0001 -000-0 Lot No,
Site Plan Name:Block No.
Project Name:
Setbacks Front Bacl<:
---
Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 15 SEER 8 KW PACKAGE A/C SYSTEM
na or appry:
S h utte rs l-l *'noo*s/DoorsY
T
HVAC
E lect ric
Gas Tank []e* pipine
tl[lpt*nine []sp'.rntt",,Generator l-l noor
Total Sq. Ft of Construction:
Cost of Construction: $ 4637'oo Building Height:
OWNER/LESSEE:CONTRACTOR:
Nsms WYNNE BUILDING CORP Name: CHRIS LANGEL
Address:12804 SW 122ttd AVE CompanY: SEA COAST A/C
ri+',. MIAMIvrry. _State: FL Address: 31 08 lNDUSrl|r 1'I9IIEEJ
ZiP Code: 33'186 Fax:City: FT PIERCE trI5rare:' -
p ho ne 11 s. 7 7 2-332-1 92'l ZiP Code: 34946 p6y' 772-466-3053
E-Mail:phone Ns.772-466-2400
Fill in fee simple Title Holder on next page ( if different I f-Vult, DANISEACOASTAIR@AOL'COM
from the Owner listed above)State or County License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required'
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 13973 ADELFA AVENUE
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION IN FORMATION :
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie countv makes no representation that is; granting a permit will a,uthorize the permit holdel to build the subject structure
;;hi.Tii; i"n?n/ritt *'ril,'r"nv jrjrirjjirik;'Hijr;;bftfib;;Xr8*[ii"n'iu]"i, 6'7taw;oaaad covenants that mav restrict <ir prohibit such
structure. ptease consult *iu',"ti"',ii H"rii; o;;.;;;'Ait";''.tic,;;jiil re;i6w'ioiii deed foi any restrictions rdhich mav applv'
In consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the work
in accordance with the ipprov6d 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,
accessorV structures, swtmrning pools, fences, ltalls, 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 recoided and p9:!99 ol l!",1?!tit"
betore the first inipection,'lf ydu intend to obtain financing, consult with lender or an attorney betore
commencins work or recording Vour Notice of Commencement.
SU PPLEM ENTAL COI\STRUCTION LI EN LAW I N FORMATION :
MORTGAGE COMPANY:
-
Not APPlicable
State:
Phone:
DESrG NER/ENGINEER:
Name:
_ Not Applicable
BONDING COMPANY:
-Not
APPlicable
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
-
Not A,pplicable
Ad d ress:
STATE OF FLORIDA
sonally Known x OR Produced ldentification
of ldentification Produced
Signature of Contractor/License
(Name of person acknowledglng )
e of Notary Public- State of Florida )
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
(Name of person acknowledging )
(Sign-ture of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
commission l\e. FFe6145e
Revised 0711512014
REVIEWS FRONI-
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DA TE
COM PLETE
INITIALS
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