HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BTiCOMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 8122117 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (-/72) 462-157g Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEMEI\IT LOCATION :
Address: 4479 S 25th STREET
LegalDescription:
Property Tax lD #:
Site Plan Name:
2432-441-O003-01 0-2 Lot No.
Block No.
Project Name:
Setback:; Front E;ack: _ Right Side: _ Left Side:
LIKE FOR LIKE CHANGEOL'T
(1) 4 TON 16 SEER 5 KW AND
(1) 2.5 TON 16 SEER 5 KW
onat wor perrn aoolv:
Vl HVAC Gas Tank
Plu mbing
l_leas eiping Shutters
Generator
l-l *'noo*:;/Doors
Electric tr [-lsprinkters L__l f-l noor
Total Sq. Ft of Construction:
Cost of Construction. S 7325.00 Building Height:
DETAILED DESCRIPTION OI- WORK:
CONSTRUCTION II\ FOR MATION :
lf value of construction is S25OO or more, a RECORDED Notice of Commencement is required,
owr{ER/LESSEE:CONTRACTOR:
;13mg BRENDA BUCHKO
Address: 4479 S 25th STREET
City: FT PIERCE
ZiP Code: 34981 P3x'
P h o n e 1116. 7 7 2-57 9-07 65
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3108 INDUSTRIAL 31 st STREET
City: FT PIERCE State: FL
ZiP Code: 34946 p1y. 772)"-466-3053
phone y1s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL,COM
State or County License: CMC035421
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:Phone:
BONDING COMPANY: Not Aoolicable
Name:
Address:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St,. LucieCounty.makes no representation that is granting a permit will authorize the permit holderto build the subiect strucrurewnlcn ls In conTllct wltn any appllcable Home Owners Association rules, bylaws or and covenants that mav restrict or prohibit suchstructure. Please consult With'f our Home owners AssoCiatioh and ievi6ri'yoiii deeo foilny ieilrittirins'iifiiit "riv iipiv."-
ln consideration of the granting of this requested permit, ldo hereby agree that lwill, 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 full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Signature of Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
Type of ldentification Produced
commission l\9. FFe6145e
ehnrs lnncel
(Name of person acknowledging )
of Notary Public- State of Florida )
Personally Known X OR Procluced
Signature of Contractor
STATE OF FLORIDA
of person acknowledging )
e bf Notary Public- State of Flor:ida )
Known x OR Prod
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURI-LE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS