HomeMy WebLinkAbout5406 Palmetto DrALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dare. 814117 Permit Number:
Building Permit Application
P lo nning o nd Developme nt Serv ice:;
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (172) 462-L553 Fax: (7'/2\ 462-1578 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
3402-606-0062-000-5 Lot No
Block No,
Project Name:
Setbacks Front
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 16 SEER ,10 KW
ona rs per a pplv:
YI HVAC Gas Tank
Plu m bing
l_leas eiptng
f-l sprtntters
S h utte rs Windows/Doors
E lect ric T l-l c"n",.rto,.l_l noor
Total Sq. Ft of Construction:
Cost of Construction' S 6231.00
Sq. Ft. of First Floor:
,,Isewer Ir,Utilities:
nI lSeptic Building Height:
PERMITAPPLICATION FOR: Mechanical
Address: 5406 PALMETTO DR
PROPOSED IM PROVEMEN T LOCATION :
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
Name: CHRIS LANGELN3mg MARK/DEBRA GOODRICH
Address: 5406 PALIVETTO DR Company: SEA COAST AJC
L|IV:''||L|\vL State: FL I Rddr"rr, 3'108 INDUSTRIAL 31st STREET
Zip Code: 34982 P3y'
phone Ns.772-464-2237
Citv: FT PIERCE trl5tare:' -
ZiP Code: 34946 p1y' 772-466-3053
E-Mail:phone 11s. 77 2-466-2400
Fill in fee simple Title Holder on next pate ( if different I e -vait, DANISEACOASTAIR@AOL.COM
from the Owner listed above)State or Countv License: CN/C035421
lf value of construction is $2500 or lnore, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
Zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cir prohibit 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 work
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 fullconcurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Revised 0711512014
Signature of Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
f person acknowledging )
(Signature of Notary Public- State of Florida )
OR Produced ldentificati
Type of ldentification Produced
commission No. FFe6.145e
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
;fui"J.''
(Name of person acknowledging )
ture of Notary Public- State of Florida )
nally Known OR Produced ldentificati
of ldentification Produced
ission No.
lffE;i:;.''Hitfiffyl
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM P LETE
INITIALS