HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 8128117 Permit Number:
lBnilding permit Application
Plonning and Development Servtces
Building qnd Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34gt!2
Phone: (772) 462-1553 Fax: (772) 46,2-.1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 3870 N AIA #905
LegalDescription:
Propefty Tax lD #:
Site Plan Name:
1423-805-0051-000-{t
Lot No
Block No.
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORIC
LIKE FOR LIKE CHANGEOUT
2.5 TON WATER SOURCE HEAI'PUMP
NO ELECTRIC HEAT/NO SEER IRI\TING
CONSTRUCTION IN FORMATIOI\I :
itional work to
Vr
Total Sq. Ft of Construction:
Cost of Construction:$ 5388.00
OWNER/LESSEE:
113mg MAUREEN LAVELLE
Address:720 MILTON RD
Cirv. RYE-'.r.
-
State: NY
1 0580 Fax:
305-923-9249
Fill in fee simple Title Holder on next parge ( if different
from the Owner listed above)
Right Side:Left Side:
a potv:
S h utte rs
Generator
rs permit -
HVAC
Electric
Gas Tank
Plum bing
Ttr
Sq. Ft. of First Floor:l-t r-rUtilities: I lsewer I lseptic Building Height:
Windows/Doors
Roof
Zip Code:
Phone No.
E-Mail:
|fva|ueofconstructionis$2500o''o'u,.neconoeoruoti.@
l-leas eipingTl-l sprintters tr
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3'108 INDUSTRTAL 31st STREET
City: FT PIERCE
Zip Code: 34946 p6y. 772-466-3053
Phone 1116, 77 2-466-2400
E-Mail: DANISEACOASTATR@AOL.COM
State or Countv License: CMC035421
FEE SIMPLE TITLE HOLDER:
Name:
I certify that no work or installation has commenced prior to the issuance of a permit.
St' lucie county makes no representation l:hatit ql?ltjlg^qp-ermit will a,uthorize the permit holderto build the subiect structurewnlcn ls In contlict with any applicable Horiie owhers AsSociation rules,'6ylaws or anQ covenants that may, restrict or prohibit suchstructure' Please consult with'iouitlome own'eii Asio;iatidi;;b'reii6,ityour deed for any restriltrons wnrcn may appry.In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved prans, the Frorida Buirding codes and st, Lucie countv Amendmenrs.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fent:es, walls, signs, t.r".n ioo,i. and accessory ur.rto anott.1er non-residential useWARNING To owNER: Your failure to Record a Notice of commencement may result in your paying twice for
[:lJ:"'Ffl?.lll:J"""T,l,""tFil],,1]*F:^;1S."^nd:l-."r.;i',;;i b; ;;;;t;il;;d posted on the jobsitebefore the fir:;t indpection,'lf. yciu inteno io ootain rinaniine, i"r!rh",iii[::;i:1. 3?:fi:ii;i,i"l t?J75t'commencing r,vork,o,r recording vour Notice oicommenilii*,. ,
Ad d ress:
City:
zip:Phone:
_ Not Applicable
NFORMATION:
DESIG l\lER/ENG I NEER: --_ N,fI
Ad d ress:
air,,.
-
Lrry; State:Ltp: phone:
MORTGAGE COMPANy: _ Not Applicable
Name:
Ad d ress:
BONDING COMPANy: _Not Applicable
The foreoine insl-r
this 4d aav of
sr gnatu re ot Ow ner/Lessee/Contractor as AgenTToibilnil
STATE OF FLORIDA
COUNTY OF srLUcrE
"t8uT;'"'"now
(Name of person acknowledging )
(Signature of Notaiy pu ate of Florida )
Personally Knowrr x OR produced ldentification
Type of ldentification produced
Com mission No. _FFe6j459
Signature oftontractor/License Holder
STATE OF FLORIDA
ent was gcknowledged before meMU,SL 20 11 oy
Personally Known x OR produced ldentificarron
Type of ldentification produced
(Name of person acknowledging )
ture of Notary
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEWDATE
COMPLETE
INITIALS
DANELLE FdaGaErJrAN
coMMtsstoN # FFg61459