HomeMy WebLinkAboutbuilding permitsALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.7t24t17 Permit Number:
Building Permit Application
Set victis
Building and Code Regulation Divi5ion
2300 Virqinia Avenue, Fort Pierce FL j4982
Phone: 1772) 462-L553 Fax: (772) 462-1,578 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1 301 -605-0351 -000-9 Lot No,
Block No.
Project Name:
Setbacks Front Right Side:Left Side:
LIKE FOR LIKE
3 TON 16 SEER
CHANGEOUT
5KW
CONSTRUCTION I NFORMATION :
worK to s permtt - c apprv:
Vl HVAC
Electric tr
Gas lank
Plumbing
l--lcas eiping
l-l sprintters I Shutters
Generator
tltr
Windows/Doors
Roof
Total Sq. Ft of Construction:Floor:
Et"*Cost of Construction' S 5561'00 Building Height:
OWNER/LESSEE:CONTRACTOR:
N6mg KIM ATKINSON Name: CHRIS LANGEL
Address: 8405 WINTER GARDEN PARKWAY Company: SEA COAST A/C
( lT\/. | ' I rLt\vL
-.t'_5tate:' *Address: 3'108 INDUSTRIAL 31 st STREET
ZiP Code: 34951 Faxl City: II IlEx9E State: FL
p hone 116, 7 7 2-67 2-0555 ZiP Code: 34946 p1y. 772-466-3053
E-Mail:phone y1s. 772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC03542'1
PERMIT APPLICATION
Address: 8405 WINTER GARDEI\ PARKWAY
PROPOSED IM PROVEM ENT LOCATION :
DETAILED DESCRIPTION OF WORK:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
riil
DESTGNER/ENGtNEER:
Name:
Ad d ress:
City:
zip:Phone:
_ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:
Zip:Phone
FEE SIMPLE TITLE HOLDER:
Name:
Ad d ress:
City:
zip:Phone:
-_ Not Applicable BONDING COMPANY: Not Aoolicable
Name:
Address:
City:
7ip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St,. Lucie.County.mak.es no representation that is granting a permit will authorize the permit holder to build the subiect strucrurewnlcn rs In conlllct wrtn any applicaple Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrittions Wfrich miv aripiv. -
In consideration of the granting of tfris requested permit, I do hereby agree that lwill, in all respects, perform the work
in accordance with the approved plPns, the Florida Building Codes and St. Lucie County Amendments.
The following building permit appliqations are exempt from undergoing a fullconcurrency review: room additions,
accessory structures, swimming pocils, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fbilure to Record a Notice of Commencement may result in your paying twice for
improve,melts. to your properitv, A Notice of .Commencement must be recoided and iosted bnif'e jobsite
before the first inspectio lf you intend to obtain financing, consult with lender or an attorney Oet6iecommenciffi work or rec dirle vour Notice of Cor mencemenr
Signature of Owner/Lessee/Contraclor as A[ent for Owner
STATE OF FLOR]DA
COUNTY OF sr
Signature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission |1|9. FF96145s
Si gn atu re o='f Co ntracto r/L Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
fore me
by
CHRIS LANGEL
person acknowledging )
gnature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
tification Produced
[\9. FF961459
Revised 0711512014
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