HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIJST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/30/'17 Permit Number:
Buillding Permit APP|ication
Plonning and Development Services
Buitding hnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (172\ 462-1553 Fax (772) 462:'1578 Commercial Residentia I
PERMIT APPLICATION FOR: Mechiani<;al
PROPOSED IM PROVEMENT LOCA]'ION :
Address: 7081 TORREY PINES CIRCLE
LegalDescriPtion:
3322-504-0054-000-8 Lot No
Property Tax lD #:
Block No.
Site Plan Name:
Project Name:
Setback:; Front Back:
----
Right Side:Left Side:
DETAILED DESCRIPTION OF WOR}'T:
LIKE FOR LIKE CHANGEOUT
3.5 TON 14 SEER 8 KW
ormed u Ihis permlt - cl
l]em riping
l=l sprint<ters
a pprv:tr
tr_
Vr HVAC
E lectric
Gas Tank
tlll
S h utte rs
Ge nerator
Windows/Doors
Roof E Roof pitcnf] ptu'oine
Total Sq. Ft of Construction:
Cost of Construction: $ 5510'00 Building Height:
OWNER/LESSEE:CONTRACTOR:
Name: CHRIS LANGEL
ComPanY: SEA COAST AJC
Address:31081NW
CitY: FT PIERCE State: FL
ZiP Code: 34946 Fax:772-466-3053
p hone 11s. 77 2-466-2400
E-Mait: DANISEACOASTAIR@AOL'COM
State or County License: cMCo3542'1
rt u"tu. of construction is $2500 or more, ,*rgcoRDED Notice of commencement is required'
CONSTRUCTION I NI FORMATION :
N3ms CYNTHIA GILLEN
Address: 8321 BELFRY PLACE
City: PtIRT ST LUCIE State: FL
Zip Cocle: 34986
-
Fax:
phone gs. 301 -537-72{l!
Fill in fee simple Title Holder on next p'age ( if different
from tlre Owner listedl above)
I certifv that no work or installation has comrnenced prior to the issuance of a permit'
iirutture. Please consult with yourilnr..fii::1:H{,l["qtlFii:"#fj'fffiE;!ffih.*i[?,1]3i,"i,ifr#iili',,1#lH{ffi3$fl?t$}?!",',Tli3ftfli,i!f'j*F"liJ{inlitl
I fi I : lilL : 3 [ t h iY ffl]iltt'ii, i.l t i i,"'. 6'r' ii' I i i'i t'
:d for anV restrictions whicn may apply'
H?l$lf.R?yilil[I!['"1iil:f i""iliE ;r e";mencement ;;;i b; ;;;o?oea and bosted bnlhe jobsite
before the first inspection. lf you inteno .Jo6#n iininilng, .onirit *itt', lende'or an attorney before'oTpJl""?n't,[,liJr"J;,T,ii?i,T;?,.'Jin'li;"";;.,"i;?;;;;;;;;;;;it *iirr-renoe or an attornev berore
ln consideration of the grarrting of this requested.permit, I do hereby agree that I will' in all respects' perform the work
in accordance with the tpi't"uEipitns, itr'e rioriUS eriiJing Codes and lt' Lucie countv Amendments'
The following building perrnit 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
WARNINGTooWNER:YourfailuretoRecordaNoticegfCommenc:I1"j::1Yj:'^"l.jlHxlxj'Jl'.1.:'ffJ3i
commencing work or r!!-qlq!ur Nrctice of Comqe199n9q!
Revised 0711512014,
iUPPTEIVIENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY:Not Applicable
Ad d ress:
DESIGNE
Name:-
tttot APPlicable
Phone:
COMPANY:
-Not
APPlicable
\ip: Phone:
BONDING
Name:FEE SIMPLE TITLE HOLDER:
-
Not APP|icable
Address:
Signature of Contractor
STATE OF FLORIDA
(t,trr. of person acknowledging )
of Notary Public- State of Florida )
PersonallV Known x OR Produced ldentification
Type of ldentification Produced
Commission [\q. FFe6145e
STATE OF FLORIDA
(trtame of person acknowledging )
e of ttotary PuLrlic- State of Florida )
Personally Known x
- OR Produced ldenti
Type of ldentification Produced
Commission l\9. FFe61 ffi::s,tl
SEA TURTLE
REVIEW
VEGETATION
REVIEW
ZONING
REVIEW
FRONT
COUNTER