HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 9114117 Permit Number:
tlu ilding Permit Application
Planning ond Development Services
Building qnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mr:chanical
PROPOSED IM PROVEM ENT LOCATI,ON :
Legal Description:
Property Tax lD #:
Site Plan Name:
1414-610-001 0-000-0 Lot No,
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRTPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3.3 TON WATER SOURCE HEAT PUMP
NO ELECTRIC HEAT----NO SEER RATING
CONSTRUCTION I N FORMATIOI{ :
WO rmed under rs perm a pply:
V
T
HVAC
E lect ric
Gas Tank
Plu mbing
l-lcas eiping S h utte rs
Generator
l_l *,noo*s/Doors
T S p rin kle rs tr l-l noor
Total Sq. Ft of Construction:
Cost of Construction ' S 6071 .00 Building Height:
OWNER/LESSEE:CONTRACTOR:
N6ms DEBRA/THOMAS Plcc Name: CHRIS LANGEL
Address:5047 N AIA #304 Company: SEA COAST A/C
City: FT PIERCE Address: 3108 INDUSTRIAL 31 st STREET
ZiP Code: 34949 City: FT PIERCE
phone 116. 703-6'l 5-51 62 ZiP Code: 34946 p6y. 772-466-3053
E-Mail:phone 1\s. 772-466-2400
Fill in fee simple Title Holder on next prage ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
Address: 5047 N 41A #304
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip Phone
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:
Lip:Phone
FEE SIMPLE TITLE HOLDER: Not Aoplicable
Name:
Ad d ress:
City:
zip Phone
BONDING COMPANY: Not Aoolicable
Name:
Ad d ress:
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 oermit holder to build the subiect structurewhich is in conflict with anv dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict dr orohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions rdhich may apply.
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, 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recordi ur Notice of Commencement,
Contractor Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
CHRIS LANGEL
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission f\6. FFe6145e (Sea l)
Revised 0711512014
MANGROVE
REVIEW
Signature of Owner
STATE OF FTORIDA
COUNTY OF srLUcrE
(Name f person acknowledging )
Type of ldentification Produced
Commission [\6. FFe6145e
(Signature of Notary Public- State of Floriila )
Personally Known x OR Produced ldentification
;ilililt"oN # FFe6145s
r n"ti*tt t "otery
1 6'-:020
FRONT
COUNTER
SEA TURTLE
REVIEW
of person acknowledging )
nature of Notary Public- State of Florida )