HomeMy WebLinkAboutBUILDING PERMIT APPLICATION\\$.\
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dare. 6119t17 Permit Number:
Building Permit Application
P lo n n i ng o nd Deve I o pnt e nt Se rv ices
Building and Code Regu,lation Division
2300 Virginia Avenue, Fort pierce FL 34982
P ho n er : (7 7 2) 462-1.5:;3 F ax: (7 7 21 46?_-.LS7 B Commercial Residentia I x
PERMIT APPLICATION FOR: Merchanical
PROPOSED lM PRC)VEM ENT LOC/TT|ON :
Address: 6903 SEBASTTAN ROAD
Legal Description:
Propefty Tax tD #:
Site Plan Name:
1 301 -61 4-01 32-00-6
Lot No
Block No,
Project l\ame:
Setbacl<s Front
-.--
Back:Right Side: Left Side:
DETAI,LED DESCRTPTION OF WORK:
LIKE FOR LIKE CHI\NGEOUT
3 TON 15 SEER IO KW
CONSTRUCTION INFORMATION:
tional work to r rs permit -a ppty:
Zruo.
fl uectric
Gas Tanl<[]eas niping
[]sp,.inr,r",.,
S h utte rs
Generator
l-l *,noo*s/Doors
f] pt,roine tr l--l noor
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities: |lru*"r It"Cost of Construction. S 4300.00
CONTRACTOR:
Name: CHRISTOPHER LANGEL
Company:SEn gg^at tt
Address: 3108 INDUSTRTAL 3tst STREET
City:jl PIERCE State: FL
ZiP Code: 34946 772-466-3053
phone y1s. 772-466-2400
E-Mail: DANISEACOASTATR@AOL.COM
State or County License: CMC035421
OWN ER/LESSEE:
Nsms SFIANE LANGEL
Address:9'10 S JENKINS RD
City: 1T PIERCE
Zip Coder: 34947 ._ Fax:
p h o ne 11 s. 7 7 2-940-97 42t.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
|fva|ueofconstructionis{;25ooormore,anleircRoeoruotic@
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie county makes n.o^.le^p-Le,l9l,!Ption thalis €lglting a permit will a.uthorize the permit holder to build the subiect structure$Lj:?,];J:p:3lllT#Tirfff,Y,f'fJlffH5#s8fi,.B"xllil:,..",19,"fffft *4b*,. ..sff%l+rulilxtY;t#^l:'^TT?f'p',.3'i'lji, ,,.n
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workrn accordance with the approved plans, the rlorida suiloinc cod;;;;J'si, t-ucie county Amendments,
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, switnming pools, fences, walls, signs, r.r."n ioo,i, and accessory uses to another non-residential useWARNIING To owNER: Your failure to Record a Notice of commencement may resutt in your paying twice for
[:fJi."iffi'il,lll;Jr".T,,H".1il,j;{T"T!.i""jf,""?+81.##::i:i,r":,f::'"1* 11pe:t:g e. *re jobsiteoeTore rne rrrst lnspection. lf you intend to obtain financine, consult with lenJel;l;i;ii;;y tF#;commencing work or recording vour Notice of c;;;;n;;ii*t.
DESIGNER/ENGll\tEER _ Not Applicable
Zip: phone:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
zip: phone:
FEE SlIVIPLE TTTLE HOLDER: _ Not Applicable
Zip: phone:
BONDING COMPANy:
--Not
Applicable
Zip: phone:
actor as Agent r Owner
STATE OF FLORIDA
COUNTY OF srLUgE
of person acknowledging )
STATE OF FLORIDA
of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR produced ldentificatlon
Type of ldentification produced
Commission [\e. FFe6i45e
Signatu re of Contr-tof LicEnG
(Sign-atu re of Nota ry Fu b I ic- sIiItT
Personally Known x _ OR produced
Type of ldentification produced
Commission No,
VEGETATION
REVIEW
Revised 07l15l20I