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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 5t23t17 Permit Number:
Bu ilding Permit Application
Pla n ni ng o nd Deve loprne nt Se rvices
Building and Code Regulation Division
2300 Virginia Avenue, f:ort pierce FL j4gg2
Phone: (7721462-1.553 Fax: (772) 462-1.578 Commercial Residential x
PERMIT APPLICA-flON FOR: Mechanical
Address: 2801 CORTE:_Z BLVD
Legal Description:
Propefty Tax lD #:
Site Plan Name:
2420-802-000'1-000-5
Lot No,
Block No,
Project Name:
Setbacks Front Back: _-- Right Side:Left Side:
LIKE FOR LIKE
3 TON 14 SEER
CHANGEOUT
5 t(w
rotltonatwo
Zruo.
perm appty:
Gas Tank llcas eiping Shutters
Generator
l_l *,noo*s/Doors
Irlectric f] pt*uine l-lsprint<lers T !Roof Roof pitr:h
Total Sq. Ft of Construction:Sq. Ft. of First Floor:t-t [tUtilities: I lsewer I lseptic Building Height:Cost of Construction: $ 5442.00
CONTRACTOR:
Name: CHRIS LANGEL
Company:SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
Citv: FT PIERCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone \1s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC03542'1
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I.I\ FORMATION :
lf value of construction is 52500 or more, a RECoRDED Notice of Commencement is required.
PROPOSED IM PROVEM ENT LOCATION :
OWNER/LESSEE:
J13mg LUIS ZAMORA
Addres:;: 2801 CORTEZI BLVD
City: FT PIERCE
ZiP Code: 3498'1
P ho ne 111 s, 7 7 2-21 6-80 1 0
Fill in fee simple Title ltolder 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 countv makes no representation that is gigltjnc a permit will a.uthorize the permit holder to build the subiect structurewhich is in conflict with anrT. dpplia6le H;di;btlqriA-r.:.gFi"n iuiiis, rivraws or and covenanti that may restrict or prohibit suchstructure' Please consult wittr'r/otii Home owrieis Association and revi6w'your deed for any restritrrons wnrcn may appry.
l:::i^tiq:|.:llon.of the granting of this requested permit, tdo hereby agree that lwill, in all respects, perform the workIn accordance with the alrproved plans, the Floridi Bui.lding cod;;;;J3i. 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, r.r.un Too,irano accessory uses to another non-residential useWARNING To owNE:R: Your failure tq Record a Notice of commencement may result in your paying twice forlmprovements to vour property. A Notice of commen."mJni'mrst be recol.ded and posted on the jobsite!-tl9ft the first inipection.'lf y<iu inteno-io ootjin iin.niini,'ionsutt with tendpr ...,r an rrr^rharr r.rar^.^commencing work or record
Ino ro obtain tinancing, consult with lender or an attorney beforeNotice of Commencement.
VEGETATION
REVIEW
Revised 07115120t4
S U P P LE M ENTAL I:O N STR U CTI O N LI E N LAW I N FO R M'TI O IU
DESIGNER/ENGINEhR _ Not Applicable
Zip: plione:
MORTGAGE COMpANy: _ Not Appticable
Ad d ress:
State:Zip: Phone:
FEE SIMPLE TTTLE Htf,LDER: _ Not Applicable BONDING COMpANy: _Not Applicable
STATE OF FLORIDA
COUNTY OF srLUcrE
Personally Known x _ OR produced ldentification
Type of ldentification produced
commission [j6. FFe6145e
rure ol Uwner/Lessere/Contractor as Agent
(Name of person ackno\^i edging )
ignature of Notary public- State oiFloridil
STATE OF FLORIDA
Personally Known x OR produced ldentification
Type of ldentification produced
mission NJq. FF9614ss
Signature of Contractor
(Name of person acknowledging )
ture of Notary Public- State of Florida )
i uv couulssloN # F NANELLE hI WESEMAiI
EXPTRES FebruurY 16' 2020