HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.7121117 Peilmit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (172) 462-1,553 Fax (772) 462-1578 Commercial Residential
PERMITAPPLICATION FOR: Mechanical
Address: 8501 SALERNO ROAD
Legal Description:
Property Tax lD #:
Site Plan Name:
1 301 -609-001 8-000-5
Project Name:
Setbacks Front Back: _ Right Side: Left Side
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3,5 TON 16 SEER 8 KW
rs permit -
f ;;il",.,l-leas riping
l-l sprint<ters
l_l *'noo*s/Doors
l_l uunl'u,o,.l_lnoor Roof pitch
Cost of Construction. S 5593.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company: FEA COAST AJC
Address: 3108 INDUSTRIAL 3'lst STREET
City: FT PIHRCE State: FL
Zip Code: 34946 Sxy. 772-466-3053
phone 1Xs. (7 2-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or Co6ntv License: CMC035421
lf value of construction is $2500 or nrore, a RECORDED Notice of Commencement is required.
PROPOSED IM PROVEM ENT LOCATION :
CON STRUCTION I N FOR MATION :
Sq. Ft. of First Floor:
Utilities: l_l r"*u, E t"*
Fill in fee simple Title Holder on next page ( if diff
from the Owner listed above)
OWN ER/LESSEE:
Nsms ROBIN MILLER
Address: 8501 SALERNO ROAD
City: FT PIERCE State: FL
ZiP Code: 3491
phone Ns.772-464-2078
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I certify that no worl< or installation has commenced prior to the issuance of a mit.
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 Qounty Amendments.
The following building permit applications are exempt from undergoing a full coricurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accBssory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencenlent may result in your paying twice for
improvements to your property, A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencins work or recordi r Notice of Commencement.
Revised 0711512014
STATE OF FLORIDA
COUNTY OF srLUcrE
Th ing ins
thi day of
actor as Agent for
(Name of person acknowledging )
nature of Notary Public- State of Florida )
Personally Known X OR Produced ldentification
Type of ldentification Produced
Commission \16. FFe6145e
edo fnrp mevvb
20 by
Signature of Cbntractor/License
acknowl
(Name of pergon acknowledging )
rnally Knpwn x OR Produced ldentificatio
of ldentification Produced
ssion No. j
State of Florida )
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