HomeMy WebLinkAbout2969 Bent Pine REVISE KWALL APPLICIABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 911lll17 Permit Number:
lBu ilding Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349112
Phone: (772) 462-1.553 Fax: (772) 4(;2-L518 Commercial Residentia I x
PERMIT APPLICATION FOR: Mer:hanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1327-701-0043-230-3 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEERSKW
CONSTRUCTION I N FORMATIO.N :
s permrt - c a pprv:
t_{_l
E
HVAC:
Electric
Gas Tank
Plumbing
f--leas eiping Shutters Ttr
Windows/Doors
RoofT-l-l sprint<ters l_l cunu,rto,.
Total Sq. Ft of Construction:
Cost of Construction. S 5135.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
113mg NADIA VALENCIA Name: CHRIS LANGEL
Address:PO BOX 137'13 Com pany:SEA COAST A/C
CitY: lT PIE:RCE State FL Address: 31 08 INDUSTRIAL 31st STREET
7in CnAo. 34979 FT PIERCE State: FL
p hone y1s.'/ 7 2-341 -0040 ZiP Code: 34946 772-466-3053
E-Mail:Phone 111s. 77 2-466-2400
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: CMC035421
dl i*
Address: 2969 BENT PINE DR
lf value of construction is $2500 or more, a IIECORDED Notice of Commencement is required,
commenct orK or record.ing Vou6 Notice of Commencemenr.
I certify that no work or installation has cornmenced prior to the issuance of a permit.
St,' Lucie County makes no representation that is granting a permit will a,uthorize the permit holder to build the subiect strucrurewhich is in conflict with any dpplicable Home owhers AsSociation rules, bviiws-oi;;d;;v;i;;i;ih;i ritv re'striciti"p'r6iiif,it rr.rrstructure. Please consult With your Home owners nssoCillfoh ano ievi6w'voiji Jeft fo;;;i'reiirt'iii.jni'iliiiif,'ri r'v rilpiv.""
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 Countv 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 ano accessorv uses ro another non-residential use
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty, A Notice of Commencement must be recorded and posted bnlhe jobsite
ion. lf you intend to obtain financing, consult with lender or an attornev before
sUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applica
Phone:
FEE S[MPLE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY; _ Not Applicable
Name:
Ad d ress:
State:Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Signature of Owner/Lessee
STATE OF FLORIDA
ntractor as Agent for Owner
COUNTY OF srLUcrE
The ing ins
this day of
of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR produced lderPersonatty Known x OR produced ldentification
Type of ldentification Produced L
Commission fr,le. FFe6145e
Signature ntractor
STATE OF FLORIDA
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
commission l\e. FFe6145e
(Name -of person acknowledging
gnature of Notary Public- State of Florida )
Revised 07lt
ZONING
REVIEW
SU PERVISOR
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
INITIALS