HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/16/17 Permit Number:
Building Permit Application
P lo nning o nd Deve lo pnte nt Se rvices
Building and Code Regulation Division
2300 Virginia Avenue, l:ort Pierce FL 34982
Phone: (772) 462-I5lt3 Fax: (772) 462-1578 Commercial Residential x
Lega I Descriptio n :
Property Tax lD #:
Site Plan Name:
2405-701-011 5-000-0 Lot No,
Block No.
Project Name:
Setbacks Front Back: _-'- Right Side:Left Side:
I DE_''*"-E'] DE'LRIPTION OF WOI
LIKE FOR LIKE CHANGEOUT
3,5 TON 1O KW,16 SEER
wor orme rs permit -appry:
Vr HVAC
E lectric
Gas Tank l---lcas eiping
l-l sprinkters
S h utte rs
Generator
l_l *,noo*s/Doors
[] etr*ning tr l---l noor
Total Sq. Ft of Construr:tion:Sq. Ft. of First Floor:
Uti I ities : l_l r"*", [-] t"*Cost of Construction. <; 5873.00 Building Height:
OWNER/LESSEE:
;r13ms JOHN WHITE Name: CHRIS LANGEL
Address: 1003 N 35th I}TREET Com pany:SEA COAST A/C
City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREET
ZiP Code: 34947 FT PIERCE State: FL
phone 116. 77 2-461 -54'49 ZiP Code: 34946 p6y' 772-466-3053
E-Mail:p hone y1s. 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listedl above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
PERMIT APPLICAI-ION FOR: Me<;hanical
PROPOSED I M PROVEMENT LOCATION :
Address: '1003 N 3sth I3TREET
CONSTRUCTION I N FOR MATI'ON :
CONTRACTOR:
lf value of construction is $2500 or more, a FIECORDED Notice of Commencement is required,
commencing work or recordi r Notice of Commencement.
I certify that no work or installation has commenced prior to the issuance of a permit,
St,' Lucie.County.makes rlo representation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls In conlllct wltn any applicable Home Owners Association rules, bvlaws or and covenants that mav restrict or orohibit suchstructure.PleaseconsultWithr)ourHomeownersAssociatiohanoievi6w'yotiideedioianyieltriCti<jnsviriiitr-miviilpiv. -
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 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
improve.ments to your property. A Notice of Commencement must be recoi'ded and fiosted bnihe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENGINEtiR: _ Not Applicable
Address:
State:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Apolicable
Name:
STATE OF FLORIDA
COUNTY OF srLucrE
The
th is
Contractor as Agent
(Name of person acknowledging )
gnature of Notary Public- State of Florida )
Personally Known X _OR Produced ld
Tvpe of ldentification Produced
Commission [Je. FFe61
Signature of Contractor
STATE OF FLOR]DA
The ing instr
this day of _
acknowledg fore me
_,20 by
Personally Known x OR Produced ldentification
TVpe of ldentification Pr
person acknowledging )
gnature of Notary Public- State of Florida )
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