HomeMy WebLinkAboutBuilding Permit Application\R9N
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/8/'17 Permit Number:
Bu ildinrg Permit Application
PIanning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort pierce FL 349,52
Phone: (772) 462-1553 Fax: ('t72) 4tt2-IS7B Commercial Residential x
PERMIT APPLICATION FOR: fVtrechanical
PROPOSED I M PROVEM EtVT LOCATION :
Address: 205 EASY STREET
Legal Description:
Propefty Tax lD #:
Site Plan Name:
3402-604-001 1-000-7
Lot No
Block No,
Project Name:
Setbacks Front Back:Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 8 KW
CONSTRUCTION INFORMATION:
ronal work to u noer tn rsTr
permtt -apply:V
T
HVAC
ilectric T
Gas Tank
Plumbing
Gas Piping
S p rin kle rs tr
Shutters
Generator
Ttr
Windows/Doors
Roof
Total sq. Ft of construction:Sq. Ft, of First Floor:
Utitities; l-l ru*.r. I r.*Cost of Construction. S 5062.00 Building Height:
OWNER/LESSEE:
Name RICKEY SpIECE
Address: 205 EASY STREET
City: F'f PIERCE State: FL
Zip code: 19q0 Fa x:
phone X16. 630-605-7200
E-Mail:
Fill in fee simple Title Holder on nrext page ( if diffr:rent
from the Owner listed above)
DETAILED DESCRIPTION OF WORK:
lf value of construction is $zsoo or more; hEcoRDEtN"ti.;f c"_.rr"*"1n"r,t i, ,€qrir"d.
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address; 3108 INDUSTRTAL 31st STREET
City: FT PIERCE
Zip Code: 34946 p1y. 772-466-3053
phone y1s. 77 2-466-2400
E-Mail: DANISEACOASTATR@AOL,CoM
State or County License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no representation that is FlgltjlF^1p^grmitwill a,uthorize the permit holder to build the subiect structurewhich is in qonflict with any dpfllicaOte HoriiJbwstructuie. preJie ioniijd with'!our rrdme owneiii!:fii'.?'F,i?,':",id'*ii6,?u,)BYi3l.TP"i%X:ii&?llil#til:'r,'*TfjlJ&lfiii'r.itr'
In consideration of the granting of this requested,permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Floridi Building coo"r 4iJ3t. Lucie county Amendments.
The following building permit applications are exempt from undergoing a fullconcurrency review: room additions,accessory structures, swimming pools, fenr:es, walls, signs, r.r""n iooti, ano accessory uses to another non-residential use
ement may result in your paying twice for
st be recorded and posted bnlhe jobsite
ult with lender or an attorney bef6re
Revised 07115120t4 i ..rrlr . lLr$.{)153L,-)*+
SUPPLEMENTAL CONSTR[JCTION LIEN GW INFORMA
DES|GNER/ENG|NEER: Not Applicabb-
Zip: phonu.
MORTGAGE COMPANy: _ Not Applicable
Name:
Ad d ress:
Zip:__ Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
Address:
BONDING COMPANy: _Not Applicable
c$tEr owLer
STATE OF FLORIDA
COUNTY OF srLUcrE
Personally Known x OR produced ldr:ntification
Type of ldentification produced
Commission No. FF9614se
f person acknowledging )
tuFe of Notary Public- State oi f toriOrr )
OR Produced ldentification
ldentification Produ
Signature of Contractor
STATE OF FLORIDA
f person acknowledging )
(Signature of Notary pub - State of Florida )
ffii;^ DANELLE
tntt*ia FobruatY 16' 2020