HomeMy WebLinkAboutBuilding Permit ApplictionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO tsE ACCEPTED
Darc. 82t25t17 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-Ll57B Commercial Residentia I x
PERMIT APPLICATION FOR: Meot-ranical
PROPOSED I M PROVEM ENT LOC,A'IION :
Legal Description:
Property Tax lD #:
Site Plan Name:
INFO IS PROTECTET)L,ot No
Block No.
Project Name:
Setbacks Front
I DETAILED DESCRIPTION OF WOIIK:
I
*--ro* t* "ro*o=ow2.5 TON 15 SEER 8 KW
WO a ppty:
V
T
HVAC Gas Tank
Plumbing
S h utte rs
Generato r
Windows/Doors
T-T l---l noot t] Roorpitch
Total Sq. Ft of Construction:
Cost of Construction. S 4639.00 Building Height:
CONTRACTOR:
Name GEORGE DEAN Name: CllRlS LANGEL
Address: 5409 CASSIA DRIVE SEA COAST A/C
FT PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREET
ZiP Code: 34982 City: F'I PIERCE State: FL
P h on e 1116. 7 7 2-20 1 -937 6 ZiP Code: 34946 772-466-3053
phone 11s. 772-466-2400
Fill in fee simple Title Holder on next page ( if different
fronn the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Clountv License: CMC03542'l
Address: 5409 CASSIA DRIVE
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:
lf value of construction is $2500 or more, a IIECORDED 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 holder to build the s;ubiect structure
which is in conflict with anv dpplicable Home Owiers AsSociation rules, bvlaws or and covenants that mav restrict <jr prohibit such
structure. Please consult With tiour Home Owners Association and review'your deed for any restrictions which nray apply.
In consideration of the granting of thig requested permit, I do 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
Revised 07ll
Signature of Contractor/License Holder
STATE OF FLORIDA
(Name of person acknowledging )
Signature of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
Tvoe of ldentification Produced
Commission No. FF
Signature of Owner/Lessee/Cohtractor as Agerrt for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
The fq;geing instr
this(X) day of -1
ent was
Personally Known X OR Produced ldentification
Tvoe of ldentification Produced
Commission No.
person acknowledging
ture of Notary Public- State of Florida )
ffixrw,x
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
SUPPLEM ENTAL CONSTRUCTION I-I EN [-AW I N FO RMATION :
MORTGAGE COMFANY: Not Applicable
Name:
Ad d ress:
DESIGNER/ENGINEER: Not Applicab
Name:
BONDING COMPANY:
-Not
Applicable
Name:
Add ress:
FEE SIMPLE TITLE HOLDER: __ Not Applicable
Name:
Phone: