HomeMy WebLinkAboutbuilding PERMITALL APPLICABLE INFO MUST BE COMPI-ETED FOR APPLICATION TO BE ACCEPTED
Darc. 9121117 Permit Number:
Euilding Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virqinia Avenue, Fort Pierce FL i498;l
Phone: (772\ 462-1553 Fax: (772\ 4Q.--L578 Commercial Residential x
PERMIT APPLICATION FOR: Merchanical
PROPOSED I M P:ROVEM ENT LOCATI'ON:
Address: 7100 HIBISCUS ROAD
Legal Delscription:
Property'Iax lD #:
Site Plan Name:
1 301 -61 3-01 53-000-6 l-ot No.
Eilock No.
Project [\ame:
Setbacks Front Back: ____ Right Side:Left Side:
I orrnttEo DEscRrPTtoN oF woRK: I
I
LIKE F(f,R LIKE CHANGEOUT
4 TON ,16 SEER 8 KW
CONS-IRUCTION I N FORMATIOT\ :
Itona s permrt - c a00lv:
Znuo.
I.u.,,.'.
Gas Tank
Plumbing
l-leas riping
l-lsprintters tlll
Shutters
Generator
l_l *'noo*s/Doors
tr [--l noor [] Roorpitch
Total Sq, Ft of Construction:
Cost of (l.nstruction. g 5590.00 Building Height:
;13ms ERIC CARLSON Name: CHRIS LANGEL
Address: 71 00 HIBISCUS RD Company: SEA COAST A/C
cit'' Fl'PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREET
ZiP Code: 34951 Fax:City:FT PIERCE State: FL
phone 11e. 561 -324-5799 ZiP Code: 34946 pzy' 772^466-3053
E-Mail: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: CMC035421
OWN ER/LESSEE:CONTRACTOR:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
DESTGNER/ENGTNEER:
Name:
Ad d ress:
City:
Zip:Phone:
_ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
City:State:
Zip: Phone
FEE SIMPLE
Name:
TITLE HOLDER: Not Applicable
Ad d ress:
City:
Zip:Phone:
BONDING COMPANY: Not Apolicable
Name:
Address:
City:
zip:
I certify that no work or installation ftas cornmenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is srantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owiers As5ociation rules, bvlaws or and covenants that mav restrict cir prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions Which may apply.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform tfre work
in accorclance 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 pool!, 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 payflng twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the iobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Revised 0711512014 L
STATE OF FLORIDA
person acknowledging )
ature of Notary Public- State of Floridi:r )
Personally Known x OR Prod!ced ldrentification
Type of ldentification Produced
Commission [\6, FFe6145e
STATE OF FLORIDA
i"iTi"J'
ed
of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known X OR Produced lderrtification
l\6. FF961459
* MY coMMtsstoN # FFe6145e
EXPTRES February tG, 2020
SUPERVISOR
REVIEW
MANGROVE
REVIEW
SEA TURTI..E
REVIEW
INITIAL:;