HomeMy WebLinkAbout117 Camelot DrALL APPLICABLE INFO MUST BE COMPLETEID FOR APPLICATION TO BE ACCEPTED
Date. 6/30/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-151'8 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 117 CAMELOT DR
Legal Description:
Property Tax lD #:
Site Plan Name:
1 432-80 1 -0047-000-0 Lot No
Block No.
Project Name:
Setbacks Front__ Back: Right Side: Left Side:
PETATLEp
pESCRtploN oF woRK ____ I
LIKE FOR LIKE CHANGEOUT
3 TON ,16 SEER 6 KW
CONSTRUCTION I t\ FO RMATIO N :
)otltonat\
Zruo.
permtl - c a pplv:
I rtectri.
Gas Tank
Plumbing
I]Gas Piping S h utte rs
Generator
l--.l *,noo*s/Doors
Roof p tchtrf]sp,intt",,tr tr Roof
Total Sq. Ft of Construction:Sq. Ft. of First
Utilities: l-lr"*"r.
Floor:
Et"*Cost of Construction: $ 6839.00 Building Height:
Name: CHRISTOPHER LANGEL
Company: SEA COAST A/C
Address: 3'108 INDUSTRIAL 31st STREET
Citv: FT PIERCE State: FL
ZiP Code: 34946 pay. 772-466-3053
p hone y1s, 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECCIRDED Notice of Commencement is required.
OWNER/LESSEE:
t\6ms WILLIE HENTON
Address: 1 17 CAMELOT DR
Citv: FT PIERCE State: FL
ZiP Code: 34946
phone X16. 7 7 2-21 5-041 0
E-Mail:
Fill in fee simple Title Flolder on next page ( if different
from the Owner listed above)
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Luciecountv makes tg repre,gentation that is ill?ltjlc a permit will authorize the permit holder to build the subiect structurewnlcn ls In contlict with any.gpplicable Home owriers Asiociation iuies,-6vlaws or an$ -ovi:irbniiihat may restrict or prohibit suchstructure' Please consult with'f our H<jme owrieii Aslofiaiidi'i"nb'i6ii6ti'vour deed for any restrittrons wnrcn may appry.
ll:9i-ti9,:ttion.of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building cooeiaiJSt. Lucie county Amendmenrs.
The following building permit applications are exermpt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, t.r""n ioori, ano accessory uses to another non-residential useWARNING To owNER: Your failure to Record a Notice of commencement may result in your paying twice for
[:lJi""iilTl',::Jf"[,p"'f lFi,,J,,t^]*F::;lS.e"TTld"T9;i'ay,-! b; ;;;;d;d ;;d posted on the jobsitebefore the first ins'pection,'tf yciu intenJioout.in iirjiiiiii,'ionsutt with tendei "i:,i:;t31,i"3 il.?J?:." of CJr..nifii*t. r.
Revised 0711512014
NGINEER: _ Not Appfi
Zip: phone:
MORTGAGE COMpANy: _ Not Applicable
Name:
Zip: phone:
FEE SIMPLE TTTLE HOLDER: _ Not Appticable
Name:
Add ress:
BONDING COMPANy: _Not Applicable
Name:
STATE OF FLORIDA
COUNTY OF srLUcrE
(Na of person acknowledging )
ure of Notary public- statE oiFloriEl
Personally Known x OR produced ldentification
Commission l\9. FF96145e
Signature of Owner Signature of co ntraEtoTLicEnG
STATE OF FLORIDA
COUNTY OF
f person acknowledging )
ture of Notary Public- State of Florida )
ly Known x OR produced ldentification
of ldentification produced
mission No.
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