HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE IICCEPTED
gils. 10116117 Perrmit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982-
Phone: (772) 462-1553 Fax: (-/ 72) 462--L578 Commercial Residential x
PERMI'I APPLICATION FOR: Merchanical
Address,
Legal Des;c;ription:
Property l'ax lD #:
Site Plan Name:
130'1-603-0186-000-5 Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Sider:
IErtryuo ortq*'tlo* otyglx___
]
LIKE FOR LIKE CHANGEOUT
3.5 TON 16 SEER 1O KW
CONSTRUCTION I N FORMATION :
)otilonal\
Z ruo.
s perm a pp rv:
Gas Tank
Plu m bing
l--le as eiping Shutters l_l *,noo*s/Doors
l_--l rter:trtc u l---lsprintters l_l G"r,",rto,.I noot
Total Sq. [:t of Construction:
Cost of Construction' S 5608.00
CONTRACTOR:
Name: CHIRIS LANGEL
Company:lEle949I A/9
Address: 3108 INDUSTRIAL 31 st STREET
LIIV: ' 'State: FL
71n 7nSo. '34946 p6y' 772-466-3053
phone 11s. 77 2-466-2400
E-Mail: Dp,NISEA(IOASTAIR@AOL.COM
State or C6untv License: cMC035421
PROPOSED IM PROVEM ENT LOCATION :
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
owNEFI/LESSEE:
53ms SARA SPRING
Address: 7804 WESTMONT DR
Citv: l=T PIERCE State:FL
ZiP Code: 34951
phone 11s. 772-46'1 -0366
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I certify that no work or installation has commenced prior to the issuance of a permit,
St, Lucie Countv makes no representation that is srantinq a permit will authorizer the permit holder to build the subiect structure
which is in conflict with anv doolicable Home Owierrs AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with'lour Home Owners Association and review'your deed for any restrictions which may apply.
In consideriation 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 fullconcurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and acr:essory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be rec:orded 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 recording Vour Notice of Commencement.
MORTGAGE COMPANY: Not Applicable
Name:
Phone:
DESIGNER/ENGINEER: _ Not Apprlicable
Ad d ress:
BONDING COMPANY: Not ApplicableFEE SIMPLE TITLE HOLDER: __ Not Applicable
Name:
Ad d ress:
Phone:
Signatu tlontractor/License Holder
STATE OF ]:LORIDA
CHRIS LANGEL
Personallv Known x OR Produced ldentification
of ldentification Produced
of person acknowledging )
ature of Notary Public- State'of Florida )
ractor as Agent for Owner
STATE OF FLORIDA
COUNTV OF srLUcrE
Iff ltpfli :;., uUt? rur-l'ltlTJ; "= "
of person acknowledging )
(Signature of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
Type of ldentification Produced
Commission [\6, FFe6145e
Revised 0711512014 ',$"'sj::i*#
SEA TURTLE
REVIEW
MANGROVE
REVIEW
ZONING
REVIEW REVIEW
SUPERVISOR
REVIEW