HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 9121117 Prermit Number:
Building Permit Appllication
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort pierce FL 34982
Phone: (772) 462-j.SS3 Fax: (Zt2\ 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 62 LA VILLA WAy
LegalDe:;cription:
Property Tax lD #:
Site Plan Name:
1301-1 I 1-0001.000-5
Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW PACKAGE A/C SYSTEM
ona rs perm tt -a ppty:V
T
HVAC Gas Tank
Plum bing
l-lcas eiping
f-l:;prinkrers
S h ul.te rs
Genr:rator
Ttr
Windows/Doors
Roof I] Roor pirch
E ler:t r ic I-tr
Total Sq. Ft of Construction:
Cost of C6nstruction. S 4709.00 Building Heiglrt:
CONTRACTOR:
Name: CHRIS LANGEL
Company:S]EA COAST AJC
Address: 3108 INDUSTRTAL 31st STREET
City: FT PIERCE State: FL
ZiP Code: 3'+946 p6y' 772-466-3053
p hone y1s. 1,7 2-466-2400
E-Mail: DANIISEACOASTATR@AOL.COM
State or County License: CMC035421
PROPOSED IMPROVEMENT LOCATION:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATION :
lf value of construction is 52500 or more, r neconoeo Notice of commencemelt is required.
OWN ER/LESSEE:
;13mg WYNNE BUtLDtNG
Address:12804 SW 122nd AyE
City:a/lAMt
ZiP Code: 33188
phone 116. ((ROBBIE SNYDER 937-477-0062\\
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
commenctnA work or
lcertifythat no workor installation has commenced priorto the issuance of a prermit,
ij1[!'i3 fiffi'n*m n,l:l#?."i4ru'ffi]Fb'.;Flgltilg lpermit will a,,![9t']lt the permit hotder to buitd the subject structureiiruitLiie. preisl= io'!,rf *ith''iouiH;mitffd;lR!:5f;?ii?,':%'.,1ii6,?u,jflY|;iJ"TP"i%uniiPJ,t?.Hil#n;:f,Tl.j <jiirro'irilii iu-crr
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building cooesariJEt. 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, s.r"en ioomr ano acr:essory uses to another non-resiclential use
: Your failure to Record a Notice of Commencement may result in your paying twice forpropertv. A Notice of commencement must be reco'roeo and b;;iiJij;ih.'iJoiit.ion, lf you intend to obtain financing, consult with lender or an attnrnorr hofnrarreno ro obtarn tinancing, consult with lender or an attornev bef6reur Notice of Commenceme.nt\ n ,'.) ---
Revised 07lt512
SU PPLTM ENTAL CONSTRUCTION
ENGINEER: _ Not Appiicable-
Name:
Ad d ress:
Zip:_-- phone:
MORTGAGE COMPANy: _ Not Applicabte
Name:
Zip: __Phone:
FEE SIIVIPtE TTTLE HOLDER: _ Not Applicable
Address:
Phone:
BONDING COMPANy: _Not Applicable
Name:
STATE OF FLORIDA
COUNTY OF srLUcrE
by
f person acknowledging )
Signature of Notary public- State of Horida )
Personally Known x OR produced ldentification
Type of ldentification produced
ContractorAicense Holder
STATE OF FLORIDA
Th ing i
thi day
eme
(Nam persion acknowledging )
(Signature of Notary public- State oif lorida )
Personally Knclwn x OR produced ldentification
Type of ldentif ication produced
Commission l\6, FFe6'145s
l-wesemnH
: .J-??H ;ii' "'v.1.0r1
ozo
FRONT
COUNTER
SUPERVISOR
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW