HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, 8124117 Permit Nurnber:
Building Permit Application
P I a nni ng a nd Develo pme nt Service:;
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 3498"2
Phone: (772) 462-1553 Fax: (7721 462-1578 Commercial Residential x
PERMIT APPLICATION FOFt: Mechanical
PROPOSED I M PROVEM ENT LOCATION :
Address: 7206 SANTA ROSA PATRKWAY
LegalDescription:
Property'Iax lD #:
Site Plan l\ame:
'l 301 -61 3-021 €i-000-0 Lot No,
tslock No.
Project Name:
Setbacks Front Bilck:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOIJT
2.5 TON 15 SEER 8 KW PACKAGE A/C SYSTEM
lott onal w(
Znuo.
Ie le.tric
s per apprv:
Gas Tank
Plum bing
l_l<;as elping S h utte rs
Generator
Ttr
Windows/Doors
Roof |-l Roor pitchtrl_lsprint<ters tr
Total Sq. Ft of Construction:Sq, Ft. of First
Utilities: l_l r"*"r.
Floor:
Et"*Cost of Construction. S 4693.00 Building Heright:
CONSTRUCTION I N FORMA]-ION :
OWNER/LESSEE:CONTRACTOR:
Nsms JUSTIN HAYSKAR
Address:107 NE CHARLESTON OAKS DR
6;1u. POIRT ST LUCIE Statr:: FL
ZiP Code: 34983 Fax:
p h on e y1s. 7 7 2-57 7 -0834
E-Mail:
Fill in fee simple Title Holder on next paCe ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 iNDUSTRIAL 3'1st STREET
CitY: FT PIE:RCE trl)rare:' -
ZiP Code: 34946 p6x' 772-466-3053
phone y6.772-466"2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or CountV License: CMC03542'l
lf value of construction is $2500 or lnore,;r RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTIC)N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:
Zip:
State:
Phone:
MORTGAGE COMPANY: Not Aoolicable
Name:
Ad d ress:
City:
zip:
State:
Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add
City
Zip:
ress
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 dpplicable Home Owders AsSociation rules, bvlaws or and covenants that mav restrict cir prohibit such
structure. PIease consult With your Home Owners Association and review'your deed for any restrictions r,rihich 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 full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Revised 07l15l20l4
Signatu re df Owner/Lessee/Contrac
STATE OF FLORIDA
COUNTY OF srLUcrE
Personally Known x OR Produced ldenti
Type of ldentification Produced
commission [\s. FF961ase
person acknowledging
e of Notary Public- State of Florida )
Signature of Contr
STATE OF FLORIDA
ally Known x OR Produced ldentification
of ldentification Produced
(Name of person acknowledging )
gnature of Notary Public- State of Florida )
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. iio*tn 16' 2o2o
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS