HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 10117117 Permit Number:
Euilding Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498:?.
Phone: (7721462-1553 Fax: (7721 46it--1578 Commercial Residential x
PERMIT APPLICATION FOR: Merchanical
Legal Description:
Property -l-ax lD #:
Site Plan Name:
34'10-503-0135-000-7 Lot No.
Block No.
Project Name:
Setbacks Front Back: ____ llight Side: Left Side:
I orrntro DESCRTPTToN oF woRK:r___
LIKE FOR LIKE CHANGEOUT
,4 TON 15 SEER 5 KW
INFORMATION:
er tn rsTtr
Frerm rI - c appty:
Gas Tanl<Gas; Piping
liprinklers
Shutters
Generator
rlrI Windows/Doors
RoofTPlu m bing tr
Total So. Ft of Construction:Sq. Ft. of First Floor:
Utilities:l-lr"*.rEt"* BuitdingHeight:Cost of Construction: $ 6399'00
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREEI
FT PIERCE State: FL
ZiP Code: 34946 V6y' 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAI R@AOL,COM
State or Countv License: (1MC035421
PROPOSED IM PROVEM ENT LOCATIONI :
Address: 5770 TRAVELERS WAY
OWNER/LESSEE:
J13ms LAWRENCE SOSNOWSKI
Address:21 16 FLOYD ST SW
City: IY9vl19
ZiP Code: 49519
phone 116. 6'1 6-481-7976 61 6-534.-6983
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 RECORIDEID Notice of Commencement is required.
commencins work or recordins vour Notice of Commencement.
I certify that no work or installation has cornmenced prior to the issuance of a permit.
St. Lucie Countv makes no representbtion that is srantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owders AsSociation rules, bvlaws or and covenant:i that mav restrict rir prohibit such
structure. 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 the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applicqtions 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 Record a Notice of Commencement may result in your paying twice for
improvements to your propertv. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection, lf you intend to okrtain financing, consult with lender or an attorney before
SUPPLEM ENTAL CONSTRUCTION LI E]! LAW I N FORMATION :
MORTGAGE COMPANY: _ Not Applicable
Name:
State:
Phone:
NGINEER: _ Not Applicab
G COMPANY: _Not Applicable
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Ad d ress:
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
1"331tJ;'"'"
(Narye of person acknowledging )
(Signature of Notdry
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission [\9. FFs6145e
STATE OF FLORIDA
(Name of person acknowledging )
(Slgnature oT Notary Public- State of Florfda
Personallv Known x OR Produced ldentification
Type of ldentification Produced
commission [Je. FFe6145e
Revised 0711512014
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