HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
[)ate. 6/9117 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone;(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR' Mechanical
V
Address. 5502 PALM DRIVE
Legal Description:
Property Tax ID#: 3402-609-0147-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
VV,
g
�01
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER SKW
02n
Frormed underinispermit apply:
A001tiOnal wDrK to 0 neck all that
-c Shutters
Gas Tank OGas Piping Windows Doors
Electric Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft•of First Floor;
Cost of Construction.$ 5507.00 Utilities.11 Sewer[ Septic Building Height:
g%gg'T'.g
R o"M
a calm, "X0 0 1:7,
Name FRED OOLEY Name: CHRIS LANGEL
Address:5502 PALM DRIVE Company: SEACOAST A/C
City: FT PIERCE State:FL Address, 3108 INDUSTRIAL 31st STREET
Zip Code: 34982 Fax, City: FT PIERCE State:FL
Phone No.772-201-4557 Zip Code: 34946 Fax; 772-466-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: E)ANISEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CMC035421
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
•nLtihti tc. U.• n. aat dry, ''c r A ?t_l':a 'W:Rs',..'t9""` •�"' H'-.,. ',,a"
f:�:;•� .^�4^ Ny "�,: "�'':�• _`^`. r � ``'� '�;,� ."ro a�,dd, •• r`� Neu y� i'�.�k:t'+� �,-r_M.
I �y•:2 r: .d. n,�: ! ,�1 i 7e .y Y�jYr [. i '''t�;Kt; r"s�y tl;Ct'`�m,.y,'"'=:q,:' ,P+.y, ;;�•t�'t,>r
}.:
•vl;;'^w.•-C+�t �:4•yyiK; fir.,._- .. �,;Y i i; .►I ),.4. :1:• i� �. .�w.h`::i';:i:,>.1�•h,.�:i,,r�,-_.;..,. ..s.SY .i aS.. Yr:'_ l.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: _ _ Name'
Address: Address:
City: State: City: State:
Zip: Phone:_ Zip: Phone'
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which 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 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
improvements to your property,A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
m-1 AtL_ 4'�
s
signature of Owner/Lessee/Contractor as Agent for owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF• STLuc[e COUNTY OF STLUCIE
Thefc�rping instr rn nt was acknowledge fore me The oing instrt� ent was acknowled before me
this_day o .20 by this day of 2Cby
C1118 LANGEL GMRIS LANGEL
(NameAlf person acknowledging) (Name of person acknowledging)
Signature of Notary Public-5tate of orlda) ignature of Notary Public-State of Florida)
Personally Known x OR Produced Identification y Known x OR Produced Identification
Type of Identification Produced Fgel enti.fication Produced
Commission No. FF967469 �•' ��A C,4� SF n (p n1! ' No, FF961 '1 51- ., �{3►►�lrt'} N#FFgg�459
Sr�p�F Nota a •�= 4y POR S f eb ry 16,E 42�
Revised 07/15/201 ' ,�c��,sri,;c'aa
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS