HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Daft. 8128117 Permit Number:
tluilding Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-1578 Commercial Residential x
Legal Description:
Propefty Tax lD #:
Site Plan Name:
'1 30 I -61 3-0006-000- 1 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WOI{K:
LIKE FOR LIKE CHANGEOUT
3.5 TON 16 SEER 1O KW
CONSTRUCTION I N FORMATIOlII :
rs perm rI -appry:
V
T
HVAC
Electric
Gas Tank
Plu m bing
llcas eiptng I Shutters l-l *,noo*s/Doors
tr_l-l sprinkters l-l c"n",,r,o,l-l noor
Total So. Ft of Construction:Sq. Ft. of First
Utilities: l-l r"*"r.
Floor:
Et"*Cost of Clonstruction' S 5436.00 Building Height:
OWN ER/LESSEE:
PERM lT APPLICATION FOR: Mr-,c;hanical
PROPOSED I M PROVEM E NT LO{:ATION :
Address: 5903 EASTWOOD DRIVE
p36s MARGARET KELLER
CONTRACTOR:
Name: CHRIS LANGEL
Address: 5903 EASTWOOD DRIVE Company: SEA COAST A/C
City: FT PIERCE State: FL I Addrurr, 3108 INDUSTRIAL 31st STREET
Zip Code: 34951 P3x'
phone 116. 772-370-61 69
Llty:_r ' ' 'L'\vL State: FL
ZiP Code: 34946 7ay. 77?--466-3053
E-Mail:p hone 11s, 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different I r-wtrit, DANISEACOASTAIR@AOL.COM
from the Owner listed above)State or County License: CMC035421
lf value of construction is 52500 or more, a IIECORDED Notice of Commencement is required.
LAW I.N FORMATION:
DESIGNER/ENGINEER: _ lrlot Applicable
Name:
Ad d ress:
City State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City State:
7ip:Phone
FEE SIMPLE TITLE HOLDER: _ l\ot Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
I certify that no work or installation has cc'mmenced prior to the issuance of a permit.
St. Lucie€ounty.mak.es no representation that_is granting a permit will authorize the permit holder to build the subiect structurewnlcn rs In contllct wltn any appllcable Horne Owners Association rules, bvlaws or and covenants that mav restrict or prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions ldhich mayapptV.
In 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, thr: F:lorida 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, fenr:es, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improve,ments to your property. A Notice of Commencement must be recoided and bost6d bnlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work g5 recording your Notice of Commencemenr. t
(
I
Signature of Owner/L ractor as l\gent for Owner
STATE OF FLORTIi)A
COUNTY OF lsrrucre
Iff ffi"i, :;.'ffu il3Tj' "- :l8i?T;'"' "
(Name of person acknowledging )
(Signature of Notary -5tate of Floricla )
Personally Known x OR Produced ldentification
Type of ldentification Produced
commisslon \9. FF96145e
Signature oftontractor
STATE OF FLORIDA
The forgoing instrurent was acknowledsed before me
uris{"F u'v "r /\,t4tllL zi trl 5u
Personally Known x OR Produced ldentification
Type of ldentification Produced
(Name of person acknowledging )
nature df Notary Public- Statdof Florida )
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS
DANELLE FdalFsEilAN
coMMtssloN fl FF96145e
# FF961459