HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE, COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc, 8122117 Permit Number:
Building Permit Application
P lo nning o nd Deve lopm e nt Se rv iccts
Building and Code Regulotion Divi:;ion
2j00 Virginio Avenue, Fort Pierce ,r:L 34giij2
Phone: (7721462-1553 Fax: (j'12\ 4(j2-1518 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1 30 1 -601 -003:2t-000-5 Lot No
Block No.
Project Name:
Setbacks Front Right Side: Left Side:
LIKE FOR LIKE CHANGEOTJT
3.5 TON 14 SEER 1O KW
ton s permtt -apprv:
V
T
HVAC Gas Tanrk
Plumbing
l-l<;as Rtping Sh utte rs
Generator
l_l *'nro*s/Doors
E lectric tr iiprin kle rs tr l-l noot E Roorpitch
Total Sq. Ft of Construction:Sq. Ft, of First
Utilities: l_l r"*u,
Floor:
Et"*Cost of Construction, S 5375.00 Building Height:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City; fT PIERCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone 11s. 772-466-2400
E-Mail: DANISEACOASTATR@AOL.COM
State or Countv License: CMC03542i
PERMIT APPLICATION FOIR: Mechanical
Address: 4804 LAKEWOOD pARl< DRTVE
PROPOSED IM PROVEMENT LOCATION :
DETAILED DESCRTPTION O,F WORK:
CONSTRUCTION I N FORMATION :
lf value of construction is $2500 or nlore, a RECORDED Nlotice of Commencement is required.
owNER/LESSEE:CONTRACTOR:
116rns ELIZABETH KANE
Address:4804 LAKEWOOD PARK: DR
City: FT PIERCT
Zip Code: 34951
phone y1s. 77 2-464-3899
Fill in fee simple Title Holder on next pilge ( if different
from the Owner listed above)
I certify that no work or installationl has commenced prior to the issuance of a permit.
st' Lucie countv makes no representation that is gfqntjng a permit will a.uthorize the permit holder to build the subiect structurewhich is in conflict with anrT. dppliCatite Ho{iJbwhers nsSociaiion iulei, Sviawioi;nd;itvij;;;t!ih.t .ay restricr or prohibit suchstructure' Please consult with'rlour tlome ownei; Ali;'c'ratio,;i;;b' re;i6;'ioil;,I;ed foia;i'i"ri'ritr,on, wn rcn may appry.
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 pleins, the Floridi Building cod;ialJBt. Lr.tu county 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
WARNING To oWNER: Your failureto Record a Notice of commencement may result in your paying twice for
flFj:"',"nT.,"'_l:J:g,l'^"qg:lI.{}:Jf:_"|,_c-"_nqs;;.m;;i m;; b; ;;;;i;Eo .,io posted on the jobsitebefore the first indpection,lly:y11"nq,ig
"d..1,;iii,'ji,iiiii,'ionsutt with tender;r:,#ii;;;:; tt?#;orotng your Notice of commencement.
Revised 07115120t4
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
LIEN LAW
DESIGNER/ENG|NEER:
-Not
AF
Name:
Add ress:
MORTGAGE COMPANY: _ Not Applicable
Name:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: lrEE Jilv[,LE ilt Lt HOLDER: ] _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
actor as Agent for Owner
STATE OF FTORIDA
COUNTY OF srLUcrE
CHnrs Lnncer
of person acknowledgi ng
nature of Notary puEiic- State oflFloriia )
Personally Known x OR produced ldentification
Type of ldentification produced
commission No. FFs61459
STATE OF FLORIDA
COUNTY OF srLUcrE
edggd before
zo [__/_ ny
was acKnowNI
of person acknowledging )
ure of Notary Public- State of Florida i
lly Known x OR Produced lderrtification
ification Produced
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