HomeMy WebLinkAbout5 Hernando LaneALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 811117 permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virqinio Avenue, Fort Pierce FL 34982
Phone: (172) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5 HERNANDO LANE
Legal Description:
Property Tax lD #:
Site Plan Name:
3414-501-1701 000-9 Lot No
Blocl< No.
Project Name:
Setbacl<s Front Bacl<: Risht Side: Left Side:
I
I DETAILED DESCRIPTION OF WORI(:r_._
LIKE FOR LIKE CHANGEOUT
3.5 TON 15 SEER 1O KW
CONSTRUCTION I N FORMATION :
TT
Windows/Doors
Roof t] Roof pitch
-lotal Sq. [:t of Construction:
Cost of Construction: $ 4400'00 Building Heiglrt:
OWN ER/LESSEE:CONTRACTOR:
113ms WYNNE BUILDING CORP Name: CFIRIS LANGEL
Address:12804 SW 122nd AYE Comoanv: {lEA COAST A/C
CitY: MIAMt State: FL Address: 3108 INDUSTRIAL 3'1st STREEI
ZiP Code: 33'186 Fax:City:FT PIE:RCE State: FL
p hone p e. (((DOROTHY MARGE RUM 77 2-460-8702 )))ZiP Code: 34946 p3x. 772-4{36"3053
phone 11g.772-466 2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DAI\IISEACOASTAIR@AOL" COM
State or CountY License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
LAW INFORMATIOlII:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City
zip:
State:
Phone:
MORTGAGiE COMPANY: Not Applicable
Name:
Ad d ress :
City State:
zip:Phone:
FEE SIMPLE TITLE HOLDER; Not Applicable
Name:
Ad d ress:
City:
7ip:Phone:
BONDING COMPANY: .----Not Applicable
Name:
Add ress:
P ho ne:
I certify that no work or installation has commenced prior to the issuance of a pr:rmit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owiers AsSociation rules, bvlaws or and covenants that mav restrict or prohiblt such
structure. 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 I will, 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 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
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 wit[ lender or an attorney bef
com mencins,tvork or record i n rN of Commencement.
Sign a o ntractor/License
STATE OF FLORIDA
COUNTY OI:ST LUCIE
The fol8oinB instr
this I day of _
CHRIS LANGEL
of person acknowledging )
Signature of Notary Public- State of Florida )
allv Known x OR Produced ldentification
of ldentification Produced
55i9g-1 |\9. FF9614
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM PLETE
INITIALS
Signatur wner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
of person acknowledging )
(Sign-ature of Notary Public- State of Florida )
Personally Known x OR Produced ldentifica
Type of ldentiflcation Produ
Commission l\9. FF961459
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