HomeMy WebLinkAbout4200 N A1A #110ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 6126117 Permit Number:
Buildirng Permit APPlication
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce. FL 34982
Phone: (772\ 452-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanic;al
PROPOSED I M PROVEM ENT LOCATIOI,I :
LegalDescription:
Property'[ax lD #:'1 423-501 -0098-000-3 Lot No
Block No,
Site Plan Name:
Project Name:
Setbacks Front Back: _--- Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 TON 14 SEER 5 KW
CONSTRUCTION INFORIVIATION:
a er is permlt -apply:
l-l *,noo*s/DoorsY
tr
HVAC
Electric T
Gas Tank
Plu mbing
r_l_I l(:aS PlPln8
l-lsprinkters tl
S h utte rs
Generator l-l- noot
I otal Sq. Ft of Construction:
Cost of Construction' S 1?9a 00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
CompanY: SEA COAST AJC
Address:31081W
rr+.,. FT PIERCE State: rL
ZiP Code: 34946 p3y. 772-466-3053
phone 116. 77 2-466-2400
E-Mait: DANISEACOASTAIR@AOL COM
State or Countv License: CMC035421
Acldress: 4200 N AIA #110
OWNER/LESSEE:
Nsms GLORIA MARTI
Address: 4200 N A'1A #1 10
city: FT PExgE-- state:Fj
ZiP Code: 34949
phone 11e. 305-323-1 51 0
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
lf value of construction is $ZSO0 or more, a RfCOROeO Notice of Commencement is required'
Revised 0711512014
commencing work or recording vour Notice of Commencement.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is granting a permit will a,uthorize the permit holdel to build the subject structure
i'ir'i.Tiii i"n?hlritt wii-r''iiv jr;;[;;b6'Hc;r;Jbwnb;; AsSociaiion'iu]eii;6ii;w;oa;n{ -ovehants that may, restrict <ir prohibit such
structure. please consult witl"riouiHome 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 exenrpt from undergoing a full concurrency review: room additions,
accessory structures, swrmming 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
b;io* ttre iirst indpection.'lf ydu intend to obtain financing, consult with lender or an attorney before
MORTGAGE COMPANY:
Name:
Address:
7ip: Phone:
_ Not ApplicableDESIGNER/ENGINEER:
-
Not Applicable
Add ress:
: State:
COMPANY:
-Not
APPlicableFEE SIMPLE TITLE HOLDER:
-
Not Apprlicable
STATE OF FLORIDA
(Na f person acknowledging )
atw-e of Notary Public-'Statiof Florida )
Personally Known x OR Produced ldentification
of ldentification Produced
of person acknowledging I
Signature of Notary Publii- State of Florida )
Personallv Known x OR Produced ldentificertion
Type of ldentification Produced
commission [\6. FFe6145e
STATE OF FLORIDA
tractor as Agent for Owner
i*"ti*tt F€bruary 16'
SEA TURTLE
REVIEW
PLANS
REVIEW
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW