HomeMy WebLinkAbout5204 Fort PierceBlvdCommercial Residentia I
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Property Tax lD #:
Site Plan Name:
1 301 -602-0002-000-9
Project Name:
Setbacks Front Right Side: Left Side:
DETAILED DESCRIPTION CIF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 1O KW
CONSTRUCTION I N FORMATION :
l---l *,noo*s/Doors
[--.l noor Roof pitch
Building lleight:
CONTRACTOR:
Name: CHRIS LANGEL
Address:5204 FORT PIERCE BLVD Company: SEA COAST A/C
City: FIPIERCE Address: 3'108 INDUSTRIAL 31st STREET
ZiP Code: ryq51 r-;+,,. FT PIERCE State: FL
7in 1-64o. 34946 p1y' 772-466-3053
phone 11s. 77 2-466-2400
Fill in fee simple Title Holder on
from the Owner listed above)
page ( if different E-Mail; DANISEACOASTAIR@AOL COM
State or Countv License: CMC035421
Address: 5204 FORT PIERCE BtfVD
t-egalDescription:
OWN ER/LESSEE:
Nsrns MICHAEL KEENT:
phone 1o.772-713-6660
lf value of construction t. 52500 -a RECORDED Notice of Commencement is required.
issuance of a permit.
will authorize the permit horder to buird the subiect structureules, bylaws or and covenants th;i miv resiriciZi"proiif,rt ,ucnreview your deed for any restrictions ldhich may appiy, -
the granting of rform the workthe approved p
ing permit appli additions,
s, swimming po non_residential use
WARNING To oWNER: Your f4ilure to Record a Notice of Commencement may result in your paying twice forimprovements to your property. A Notice of commeni"r"ni rrst r"'" reio'ro.-i.no posted on the jobsitedu intend to obtJn iinaniing,'ionsul ith tenJer;r;fiii;;;; il;3;;g your Notice of Commencemenr.
Revised 07115120
FRONT
COUNTER
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
SUPPLEMENTAL CONSTR CTION LIEN
NGINEER:
-_
Not ApplicableDESIGN
Name:
Address:
City:
7in'State:
Phone:
MORTGAGE COMPANy: Not Applicable
Name:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appticable
Name:
BONDING COMPANY: Not Aoplicable
Name:
Commission No.
Signature of Owner/Les Contractor as Agent forbwner
STATE OF FLORIDA
COUNTY OF sr
(Name of person acknowledging )
Signature of Notary public- State of Florida )
Personally Known x OR prodlced ldenti
Type of ldentification proouceo
Signat f Contractor
STATE OF FLORIDA
Personally Known x OR produced ldentification
Type of ldentification produced
person acknowledging )
re of Notary Public- State of Florida )
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a*Pf*ES February 16' 2020