HomeMy WebLinkAboutBuilding Permit ApplicationA[-L APPTICABLE INFO MUST BE COMPLIETED FOR APPLICATION TO BE ACCEPTED
Darc. 5118t17 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34992
Phone: (772) 462-tSS3 Fax: (172) 462-1578 Commercial Residential x
WAY
Legal Description:
Property Tax lD #:
Site Plan Name:
1423-504-001 2-000-6 Lot No
Block No.
Project Name:
Setbacks Front Back:
---- Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
3.5 TON 16 SEER 1O KW
ona rs perm appty:Vr HVAC Gas Tank
Plumbing
l-lcas riping Shutters
Generator
TI Windows/Doors
RoofElectricIS p rin kle rs tr
Total Sq, Ft of Construction:
Cost of Construction, S 6435.00 Building Height:
lf value of construction is 52500 or more, a RECoRDED Notice of Commencement is required.
PERMIT APPLICATION FOR: Mec;hanical
PROPOSED I M PROVEM ENT LOCATION :
Address: 9'11 WATERS EDGE
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATIoITj :
OWNER/LESSEE:CONTRACTOR:
;12rns MERWIN/CRYSTAL ULLESTAD
Address:320 HARBOR DR
g;1y. OLD HICKORY State: TN
ZiP Code: 37138
phone 1\s. 7 7 2-465-1 949
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 3'tst STREET
City: FT PIERCE State: FL
Zip Code: 34946 p6y. 772-466-3053
phone y1s. 77 2-466-2400
E-Mail: DANISEACOASTATR@AOL.CoM
State or Countv License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no representation that is qlgltjlg a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with any dpp-licatilei Horiie"bri,hers RsSociation iuiei,-6viawioiind'iijuliiriXiiihrt may restrict or prohibit suchstructure' Please consult with'four Home owneii; Ai"to'.i.ii#i;;b ru;i6#ti6iir",I".d'f";;.i'l"riii'J,,on, wnrcn may appry.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Floridi Building cooeiarlJBt. 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, rar".n ioo,i, and accessory uses to another non-residential use
Hll$,tr"t?.?Hlll:y:l'-l?:|,'^"^l:I::Tg:lpli1" "lg:,tencement may resurt in your paying twice forimprovements to vour property. n ruotice oic,j;;;;;il;i';;;i'#';;:;Ij!}":';i ffi:lJjili#ffoti'i.before the first indpection.'tf ydu interio io ootrin iii,r-r".iiig, ionsult wiilrlenoer6'rrn rttorney beforecommencing wolk or recording vour ljotice or Lommencemenr.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEWDATE
COMPLETE
INITIALS
D Es I G N E R/E N GmxTFFllAEi e
Name:
Address:
State;
MORTGAGE COMPANy: _ Not Applicable
Name:
Zip: Phone:
FEE SIMPLE TTTLE HOLDER: _ Not ApplicabG
Name:
BONDING COMPANy: _Not Applicable
Name:
ontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
The ing ins
this day of
acknowledg re me
,20
(Name of person acknowledging )
re of Notary puOtic- State oTTloriOal
Personally Known x OR produced ldentificat
Type of ldentification prod
Commission [J9. FFs614s9
re of Contractor/License Hoher
STATE OF FLORIDA
ly Known x OR produced ldentification
of ldentification produceo
(Name of person acknowledging )
re of Notary Public- State of Flor
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