HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE
Darc, 7127117
COMPLETED FOR APPLICATION TO BE AECEPTED
Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce F1t34982
Phone: (772) 462-1ss3 Fax: (77I) 462-Is78 Commercial Resideniial x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENII.LOCATION :
Address: 7106 SANTA ROSA PARKWAY
Legal Description:
Property Tax lD #:
Siie Plan Name:
'1 301 -6 1 3-02 1 9-p00-7 I nt Nln
Block No.
Project Name:
Setbacks Front Back: Rieht Side: Left Side:
DETAI LED DESCRI PTION OF WORK:
LIKE FOR LIKE CHANGEO
3 TON 14 SEER 8 KW
Z nuo.
I rtectric
Gas Tanl(l.-tl *,noo*s/Doorsrt| | PlumbinAY
[l noor Roof pitch
l-otal Sq. Ft of Construction:
Cost of Construction' S 4025.00 Building Height:
CONSTRUCTION I N FORMATION :
OWN ER/LESSEE:CONTRACTOR:
11 3 1116 KYLE/WILLIAM PARRISH
Address:7106 SANTA ROSA PARI (WAY
Name: CHRIS LANGEL
Company: SEA COAST A/C
LrT!: " "-''"-
Zip Code:
Phone No
34951 Fax:
trl)rare:' *Address: 3'108 INDUSTRIAL 3'1st STREET
LIIY: rrrrL'\vL State: FL
Zip Code: 34946 Vzy' 772-466-3053
E-Mail:p hone y1s. 7 7 2"466^2400
Fill in fee simple Title Holder on
from the Owner listed above)
ext page ( if different E-Mail: DANISEACOASTAIR@AOL.CoM
State or Countv License: CMC035421
lf value of constr"uction is $2500 or niore, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes rmit will authorize the permit holder to build the subiect structure
which is in conflict with ion rules, bvlaws or and covenants that mav restrict <ir prohibit such
structure. Please consu and review'your deed for any restrictions Which may apply.
In consideration of the hereby agree that lwill, in all respects, perform the worl<
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applicftions 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 f{ilure to Record a Notice of Commencement 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 ypu intend to obtain financing, consult with lender or an attorney before
commencins work or recordin r Notice of Commencement.
Name:
Ad d ress:
Sta te:
NGINEER:Not Applicable
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
FEE SIM
Name:
PLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Aoolicable
Name:
Signature of Owner/Lessee/Contrac or as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
CHRrs renorL
of person acknowledging )
ature of Contractoi/License Holder
STATE OF FLORIDA
of person acknowledging )
ature of Notary Public- State of Florida )
sonally Known x OR Produced ldentification
of ldentification Produced
mission No.
(Signature of Notary Public- State oIFlorida )
Personally Known x OR Prodf ced ldentific
Type of ldentification Produced
commission [\6. FFe6145s
Revised 07l15l2014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
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