HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. q/18/'17 Permit Number:
Eluilding Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Vit;ginia Avenue, Fort Pierce FL 3498.2
Phone: (7721462-15s3 Fax: (7721 462.-.1578 Commercial Residentia I x
PERMI[ APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
2969 BENT PINE DR
l-ega Descr pt on:
Property Tax lD #:1327-701-0043-230-31 Lot No.
Iiite Plan Name:Block No.
Project \ame:
Setbacks Front Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
.?, TON 14 SEER 8KW
CONSTRUCTION I N FORMATION :
ls permit -appty:
V
T
HVAC
Electric
Gas Tank
Plu mbing
l-le as eiping S h utte rs
Generator
l_l *,noo*s/Doors
tr l_lsprintters tr l-l noor
-lotal Sq. Ft of Construction:
Cost of Construction. S 5135.00 Building Height:
CONTRACTOR:
Name N,ADIA VALENCIA Name: CHRIS LANGEL
Addressi PO BOX 13713 Company: SEA COAST AJC
State: FL Address: 3'108 INDUSTRIAL 31st STREET
ZiP Code: 34979 Fax:City: l=T PIERCE trl)rare:' -
p hone 11s. 7 7 2-341 -0040 ZiP Code: 34946 p.6y. 772-466-3053
phone Ns,772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: Cl\4C035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEET
SU PPLEM ENTAL CONSTRUCTION LIEN LAW IN FORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ lJot Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDIIN
:5.
G COMPANY: _Not Applicable
Name:
Addres
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 granting a permit will authorize the permit holderto build the subiect structure
which is in conflict with anV dpplicable Home Owiers As5ociation rules, bvlaws or and covenants that mav restrict dr prohibit suchstructure. Please consult with your Home C)wners Association and review'your deed for any restrictions Which 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A lt,lotice 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 recor Notice of Commencement.
Signature of Owner/Lessee/Cdntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of ldentification Produced
Commission [!9, FFe6145s
tractor/Licen# Holder
STATE OF FLORIDA
CHRIS LANGEL
(Namq
Commission l\s. FFe6145e
gnature of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
Type of ldentification Produced
Revised 07ll ,"':I:L
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW