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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date" 10-9-17 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL j4982 Phone: (772) 462-1553 Fax: (772) 4e;2-1,578 \,,/ Commercial A Residential PERMIT APPLICATION FOR: Mechanical PROPOSED I M PROVEM ENT LOCATION : Address: 3939 ST LUCIE BLVD Legal Description: Property Tax lD #: Site Plan Name: 1432-222-0001 -000-9 Lot No Block No. Project Name: Setbacks Front Bacl<: ___ Right Side: _ Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE CHANGEOUT 5 TON 14 SEER,lO KW CONSTRUCTIO.N I N FORMATION : V T tnrs perrntt - cl l-le as eiping appry: l_l *,noo*s/DoorsHVAC tilect ric I- Gas Tank Plu m bing l-l sprin t<ters tr Sh utte rs Generator l-l noor Total Sq. Ft of Construction:Sq. Ft. of First Floor: Utitities:l_lr"*",Er"; *'llo*"'-n,:---Cost of Construction. g 6283.00 CONTRACTOR: Name: CHRIS LANGEL Company: SEA COASTA/C Address: 3108 INDUSTRIAL 31st STREET City: FIILERCE State: FL 7in Carla' 34946 p6y. 772-466-3053 phone y1s, 77 2-466-24(t0 E-Mail: DANISEACOAS;TAIR@AOL.COM State or Countv Licenser: CMC035421 OWN ER/LESSEE: ;13rns COCA-COLA BEVERAGES FLORTDA LLC Address: ONE COCA-COLA PLAZA 1-;11,. ATI-ANTA State: GA Zip Code: 303'13 Fax: PhoneN"aT[' &-l-l,fia _- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) lf value of construction is 52500 or more, a RECORDED Notice of Commencement is requirerC. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countv makes no repre,sentation that is granting a permit will a.uthorize the permit holder to build the subiect structurewhich is in qonflict with any ?ppllca6,fe Horiie b'i,hers As5ociation rutes, bvii"wi;i;;{;ovlj;;;i;ih;i riv rjrt?i.i.jib'r6iiiirit sr.rrstructure. Please consult with' f our Home owneis Aslociatioi-aiia revi6'i'voiii J;.d'fo;; ^t'ieiiii'iii.jrii'ilriiir,'iilv"rdpiv."^'ln consid,eration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and5t. Lucie countvAmendments. The following building permit applications are exenlpt 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 WARNIING To owNER: Your failure to Record a Notice of commencement may result in your paying twice for flPj""^":L.Xj^'_1gl-"{.,p_i9qgTy.A Notice of commencement mrst o" iel;ld;d ;;d b;;iJitj;in"'runiitubefore the first inipection.'lf.ydu intend to obtain finr"CinE, ionsult with lender or an attoin"v n.i6i"commencing work or recording your Notice of Commenceilent, DESIGNER/ENGINEER: _ Not Apptict6iE Name: Ad d ress: State: MORTGAGE COMPANY: _ Not Applicable Name: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Aoplicable Name: Ad d ress: Zip: Phone; STATE OF FLORIDA COUNTY OF srLUcrE Ii:s_"[":;l Si gnatu re of Owner/Li:ss-ee/ConE (Nape of person acknowledging ) (Sigi-ature of Notary puOlic- State of f loriOa ) Personally Known x OR produced ldentification Type of ldentification Produced Commission [Je. FFe6145e STATE OF FLORIDA COUNTY OF The fprgoing insy,r+,qnept was acknowledgqdgefore me trris Lg ouyo(1,kft4-,zil7 ny Signature of Contractor Tvpe of ldentification Produced Commissi OR Produced ldentlfication (Name of person acknowledging ) - State of Florida ) Revised 07ll5l MANGROVE REVIEW ome1u5^1;:il#.*roN # FF961459 EXPIRES Febntary 16, 2020 ZONING REVIEW SU PERVISOR REVIEW VEGETATION REVIEW SEA TURTLE REVIEW COMPLETE