HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLEIIED FOR APPLICATIO[\ TO BE ACCEPTED
Darc. 9119117 Permit Number:
Building Permit Application
Plonning ond Development Services
Building qnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential x
PERMTT APPLICATION FOR: Mectranical
Legal Description:
Property Tax lD #:
Site Plan Name:
1 430-331 -0002-000-5 Lot No.
Block No.
Project Name:
Setbacks Front Back: _ Right Side: __ Left Side:
I orrRrLED DEScRtPTtoN oF woRK:
LIKE FOR LIKE CHANGEOUT
2.5 TON 14 SEER 5 KW PACKAC|E A/C UNIT
CONSTRUCTION I N FORMATION :
ronalwo s permtr - c appry:
HVAC
Electric tr_
Gas Tank
Plumbing
[-lcas eiplng
l_lsprintters tlll
Shutters
Generator
T
T-
Windows/Doors
Roof t] Roor pitcrr
Total Sq. Ft of Construction:
Cost of (lonstruction: $ 3995 00 Building Height:
CO.ITITRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREE:T
Citv: FT PIERCE State: FL
ZiP Code: 34946 g6y. 772-466-3053
phone y6.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
PROPOSED I M PROVEM ENT LOCATION :
Address: 5500 ST LUCIE BLVD LOT H-ilg
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
OWNER/LESSEE:
113mg ROAD RUNNER TRAVEL RESORT
Address:5500 ST LUCIE BLVD
City: FT PIERCE
zi^ c^r{c. 34946
phone No. ((JEANNA MILLIRON 772-465-5021))
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
SU PPLEM ENTAL CONSTRUCTION LI E N LAW I N FO RMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phonel
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
Lip:Phone:
BONDING COMPANY: Nrct Apolicable
Name:
Address:
City:
zip:Phone:
I certify that no work or installation has comnrenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is erantine a oermit will authorize the oermit holder to build the :;ubiect structure
which is in conflict with anv dpplicable Home Owfrers AsSociation rules, bvlaws or and covenants that mav restrict cir prohibit such
structure. Please consult With your Home Owners Association and review'your deed for any restrictions r,rihich nray 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 llecord a Notice of Commencement may result in your paying twice for
improvementsto 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 recordins vour Notice of Commencement.
Revised 07ll5l
STATE OF FLORIDA
COUNTY OF srLUcrE
of person acknowledging )
(Signature of Notary Public- State of Florida )
Personallv Known X OR Produced ldc'ntification
Type of ldentification Produced
Commission f\9. FFe6145e
Signatu rMf Contractor/Lic
f person acknowledging )
of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
Commission frlg. FFe6145e ffigl*ffi:::$l}
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