HomeMy WebLinkAbout9821 Orange Ave 3.5 tonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
P I o n ni ng o nd Deve lopm e nt Se rv ice,s
Building and Code Regulation Divit;ion
2300 Virginia Avenue, Fort Pierce l:L 34982
Phone: (772) 462-1.553 Fax: (-/72) 462-L578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEMET\T LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
2310-31 1 -0002-000-7 Lot No,
Block No.
Project Name:
Setbacks Front Right Side:
LIKE FOR LIKE CHANGEOUT
3,5 TON 16 SEER 9 KW
tona tnrsrT
permrt -V
T
HVAC Gas Tank
Plu m bing
Gas Piping
Sprinklers
Shutters
Ge nerator
Tr Windows/Doors
RoofElectricTtltl
Total Sq, Ft of Construction:Sq. Ft. of First Floor:l-r [rUtilities: I lsewer I lseptic Building Height:
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3108 INDUSTRIAL 3'1 st STREET
City: FT PIERCE State: FL
ZiP Code: 34946 p2^' 772-466-3053
phone 116. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
Address: 9821 ORANGE AVE
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATION :
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWN ER/LESSEE:CONTRACTOR:
116ms DANNY ADKINS
Address: 9821 ORANGE AVEN UEi
City: IIPIERCE -l5tate:' '
ZiP Code; :4945
phone 11e. 772-51 9-5050
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no repreientation that is Blaltjng a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anv dppliCatjle HorirJbwiers Assoclation rutes, byii-wf ;i;nJ;iivei;;t;ih;i ft;y, r;iirici?i'p,'r6iiii,lt ,r.r.'structure' Please consult With your l-lome owners RssoCiation-ano revi6ri'voijio"eeo'roiini i"!ir'iit,on, wnrcn may apply.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Floridi Building codes and it. Lucle couniy 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
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty' A Notice of Commencement must be recol'ded and iosted bn"the jobsite
ion. lf you intend to obtain financing, consult with lender or an attorney Oef6iJ-L(JilililcilLtilB WOrK Or rgcordi ur Notice of Commencemenr.
Revised 0711512014 \I,i*""H'i];;;, n' u,,o,o
.vit€ COm#
SUPPLEMENTAL CONSTRUCTIONI LIEN LAW INFORMATIONI:
Name:
Ad d ress:
State:
DESTGNER/ENGtNEre MORTGAGE COMPANY: Not Aoplicable
Name:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
BONDING COMPANY: _Not Applicabte
Name:
Zip: Phone:
STATE OF FLORIDA
COUNTY OF srLUcrE
Signature of Owner actor as Agent
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR produced ldentj
Type of ldentification produced
Commission No. FF961459
STATE OF FLORIDA
Signature-of Contractor
(Name of person acknowledging )
ture of Notary Public- Stdte of Florida )
sonally Known x OR Produced ldentification
of ldentification Produced
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
SEA TURTLE
REVIEW'
INITIALS