HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 7119117 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL i4982
Phone: (772) 462-L553 Fax: (772\ 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Propeny Tax lD #:
Site Plan Name:
1411-707-001 1-000-5 Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
I orrnrr-ro DESCRIPTIoN oF woRK: I
I
LIKE FOR LIKE CHANGEOUT
2.5 TON 14 SEER 5 KW
CONSTRUCTION I N FORMATION :
onalworl( to TN ISTT
permrl -
V
T
HVAC:
E lect ric
Gas Tank
Plu m bing
Gas Piping
Sprin klers T
S h utte rs
Generator
f---l *'nro*s/Doors
tr l-l noor
Total Sq. Ft of Construction:Sq. Ft. of First
Utilities: l_lru*"r.
Floor:
Et"*Cost of Construction: $ 4905.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company:SEA COAST A/C
Address: 3108 INDUSTRIAL 31 st STREET
City: rl PIERCE State: I L
7in Cndo' 34946 Vay. 772-466-3053
phone Ng. 772-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
Address: 5'155 N AlA #312
ow'NER/LESSEE:
Name KATHLEEN MAGGIACOMO
Address: 108 HAMLET DRIVE
r-i+',' MT SINAIv,!y.State: NY
Zip Code: :1'139
phone ps.407-257-0950
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:
Zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _--_ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: Not Apolicable
Name:
Address:
CitV:
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 subiect strucLurewhich is in contlict with any applicable Home Owners As5ociation rules, bvlaws or and covenants that mav restrict <jr orohibit suchstructure. 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 lwill, 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
improve.ments to your property, A Notice of Commencement must be recoided and losted bnlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencine WDrk or recording Vour Notice of Commencement.
Signature wner/Lessee
STATE OF FLORIDA
COUNTY OF srLUcrE
Personallv Known x OR Produced
Tvpe of ldentification Produced
Commission [je. FFe6145s
Signature of Notary Public- State of Florida
Signature tor/License Holder
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
CHRIS LANGEL
of Notary Public- State of Florida )
nally Known { OR Produced ldentification
of ldentification Produced
ission No.
-r-"u,ttutY tg'omleuue q3{FFEMAN
li-^rrrrrc.Rrhtt I FF96t qsgF-rrrv couulssldN t Frsetqss
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS