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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLEI'ED FOR APPLICATION TO BE ACCEPTED Date. 8/10/17 Permit Number: Building Permit Application Plonning ond Development Services Building ond Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL j4982 Phone: (172) 462-1553 Fax: (772) 462-1'578 Commercial Residential x PERMITAPPLICATION FOR: Mechanical PROPOSED IM PROVEM ENT LOCATION : Address: 4905 SUNRISE BLVD Legal Description: Property Tax lD #: Site Plan Name: 3404-50'l-0313-000-4 Lot No Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETATLED DESCRTPTION OF WORK: 2.5 TON 14 SEER 5 KW PACKAGE: A/C SYSTEM CONSTRUCTION I N FORMATION :_l tronal worK to ts perm apply:TTZ *uo. Ie t".tri. Gas Tank Plu mbing l-leas rtping t-_lll S h utte rs Generator Windows/Doors RoofTl_lsprint<ters Total So. Ft of Construction:tT+ of First Floor'. -- Utilities: I lsewer I lseptic Building Height:Cost of Construction. S 4688.00 OWN ER/LESSEE:CONTRACTOR: ;13mg LINDA GROGAN Name: CHRIS LANGEL Address: 4905 SUNRISE BLVD Company:SEA COAST AJC City:FT PIERCE State: FL Address: 31 08 INDUSTRIAL 31st STREET ZiP Code: 34982 Fax: 772-777-0299 FT PIERCE >rare:' - p hone 11s. 772-464-6089 ZiP Code: 34946 Fax:772-466-3053 E-Mail:phone y6.772-466-2400 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: DANISEACOASTAIR@AOL.COM State or Countv License: CMC035421 lf value of construction is S25OO or more, a RECORDED Notice of Commencement is required. 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 holderto build the subject structure which is in conftlct with anv doolicable Home Owiers AsSociation rules, bvlaws or and covenants that may restrict or prohibit such structure. Please consult with'Vour 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 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 with lender or an attorney before commencinslMork or recordim v Notice of Commencement. Revised 0711512014 SUPPLEMENTAL CONSTRUCTI,ON LIEN LAW INFORMATION: MORTGAGE COMPANY: - Not APPlicable Ad d ress: DESIGNER/ENGINEER: _ Not Applicable Name: Address: State: BONDING COMPANY: -Not APPlicable Name: FEE SIMPLE TITLE HOLDER: _- Not Applicable Name: Signatu re of C- ntractor/Li STATE OF FLORIDA person acknowledging ature of Notary Public- State of Florida ) Personally Known x OR Produced ldentification ification Produced Signat f Owner ractor as Agent STATE OF FLORIDA COUNTY OF srLUcrE f person acknowledging ) ture of Notarv Public- Stat-e of Flor Personallv Known X OR Produced ldentification Type of ldentification Produced Commission [\6. FFs6145e f,g4,.. u ANEtiI^ Lu o F F e6 1 45e6--nneuueffit* MANGROVE REVIEW SUPERVISOR REVIEW SEA TURTLE REVIEW ZONING REVIEW