HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 7t17t17 Permit Number:
Bu ilding Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 349g2
Phone: (772) 462-1,553 Fax: (7t2\ 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 5055 N A1A #304
Legal Description:
Property Tax lD #:
Site Plan Name:
1414-601-01.18-000-9
Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOL'T
2.5 TON 16 SEER 5 KW
V
T
permit -a pptv:
HVAC
Electric T
Gas Tank
Plumbing
rr Gas Piping
Sprin klers
-T
S h utte rs
Generator
Ttr
Windows/Doors
Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:r-l
Utilities: I lsewer I lseptic Building Height:
Cost of Construction, S 6473.00
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRTAL 3.lst STREET
City: FT PIERCE )tate: I L
ZiP Code: 34946 p6y. 772-466-3053
phone 11o. 77 2-466-2400
E-Mail: DANISEACOASTATR@AOL.COM
State or Countv License: CMC035421
PROPOSED IMPROVEMENT LOCATION :
CONSTRUCTION I N FORMATION :
OWN ER/LESSEE:
113 ms JOHN/VtCTORtA ROBERTAZZI
Address: 274 ATLANTIC AVE
6;1y. MASSAPEQUA PARK
ZiP Code: 11762
phone po. 5'1 6-458-2908 51 6-Z9B_4St s
lFill in fee simple Title Holder on next page ( if different
lfrom the Owner listed above)
lf value of construction ir SZSOo or rru;;
I certify that no work or installation has commenced prior to the issuance of a permit.
st,' Lucie county makes n9 repre,gentation that is QlSltjlg^qngrmit will authorize the permit holderto build the subiect strucrurewnlcn ls In contlict with any gpplicable Homeowhers As5ociation rules,-bylaws or and covenantiirrat may restrict or prohibit suchstructure' PIease consult with'!our Home owneii fts;;'atio;i'r"ni'[ii6#tvour deed for any restrittrons wnrcn may appry.
ll:91-t19,:ration.of the granting of this requested permit, ldo hereby agree that twill, in all respects, perform the workIn accordance with the approved plans, the Florida Building cooeiaiJ'st. Lucie countyAmendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, r.r""n ioo,i, and accessory uses to another non-residential use
Htl*,*..t?.?H,lr"l;y::'^l?ifr'^"^1:I::":g:l!!i1e or_comlencement may resurt in your paying twice forimprovements to vour property, A Notiie "i c"mm".;;'"*;;i'.'ffi';-;';;:;t'.'i#; [::iJjtJli[:'jTJr:i"before the first indpection.'lf y<iu intenJio outJin ii"ri,.iii!,'ionsult *iil 1. ^i o, un attorney beforeof Commenceilent, ;- /l' "'
Revised 07115120
DESTGNER/ENGtNEER@
Name:
Ad d ress:
State:
MORTGAGE COMPANy: _ Not Applicable
Name:
Zip: Phone:
FEE SIMPLE TTTLE HOLDER:
--
Not Applicable
Name:
Ad d ress:
BONDING COMpANy: _Not Applicable
Ad d ress:
Zip: phone:
actor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
+rRrs LANGEL
(Name of person acknowledgirre )
ture of Notary Public- State of Flofl'da )
Personally Known X OR produced lde
Type of ldentification produced
Commission No.
STATE OF FLORIDA
(Name of person acknowledging )
gnature of Notary public- State of Florida )
Personally Known X OR produced ldentification
Type of ldentification proouceo
commission f!e. FFe6145s
F:.-ffi$
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
(]OMPLETE