HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO IVIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 611117 Permit Number:
Building Permit Application
P la n ni ng a nd Developmet nt Serv ices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L55.3 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #: 4504-603-001 8-000-9 Lot No
Site Plan Name:Block No.
Project Name:
Setbacks Front Back:
---
Right Side:
-
Left Side:
DETAILED DESCRIF'TION OF WORK:
LIKE FOR LIKE CHr\NGEOUT
2 TON ,16 SEER 5 K:W
CONSTRUCTION I N FORMATION :
apolv:
IL_t
T Construc
^ ', AL UCItOn: )
l]eas eiping Shutters
Generator
l--l *,noo*s/Doors
l_lsprint<ters LI l_lnoor
So, Ft. of First Floor:
Utilities:|_lru*"r.Et"*Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Com pany:SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
FT PIERCE State: FL
ZiP Code: 34946 772-466-30s3
p hone y16. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.CoM
State or County License: CMC035421
Address: 12435 S INDU\N RIVER DRIVE
OWNER/LESSEE:
;16ms JOHN MEANS
Address:12435 S INDIAN RIVER DRIVE
6;1y' JENSEN BEACH State: FL
ti^ r-nao. 34597
phone 116. 248-82'l -71 €18
Fill in fee simple Title llolder on next page ( if different
from the Owner listed above)
lf value of construction ir; 52500 or more, a RECORDED Notice of Commencement is required,
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation tha!is granting a permit will a,utlrorize the permit holdel to ptlil9-U.e-,s^Ybiec^t-strqcture
which is in conftict with asv dppticabte Home owrib?!'XiBoii.ii;.'iuiii;6ii;i;oi;nd aiiveh;nti ihat mav. r.estrict or prohibit such
structure. please consult *itF,'ri"l"i H jr; ffin-dii'Asiirii-ai-ron ana ievi6w''7oui deed for any restrictions rdhich may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the ipproved 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,lwimming 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
improvements to your proberty. A Notice of Commencement must be recorded ttq P9:l:9^9l.ll?]|!tit"
neior" the first indper:tion.'lf vdu intend to obtain financing, consult with lender or an attorney betore
commencins work or recording your Notice of Commencement'
Revised 07ll5l2
REVIEWS FROI\IT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
MORTGAGE COMPANY:
-
Not APPlicableDESIG NER/ENGINEER:Not Applica
Add ress:
BONDING COMPANY:
-Not
APPlicableFEE SIMPLE TITLE HOLDER:
-
Not Applicable
Signature of Contractor/License Holder
STATE OF FLORIDA
Personally Known x OR Produced ldentification
Type of ldentification Produced
(Name of person acknowledging )
naiure of Notary Public- State of Florida )
(Name of person acknowledging )
$ignEture of Notary PuLrlic- State of Florida )
Personally Known x
-OR
Produced
Type of ldentification Produce4
Signature of Owner actor as Agent
STATE OF FLORIDA
f;: w cotuut--::^;; 16,2020