HomeMy WebLinkAboutBuilding Permit App with RevisionALL APPLICABLE INFO MUST BE COMPI-ETED f:OR APPLICATTON TO BE ACCEPTED
Darc. 10118117 Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virqinio Avenue, Fort Pierce FL 34982
Phone: \llz7 +ez-Lssz Fax: (772) 462-1578 Commercial Residential x
PERMIl' APPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION :
Address: '154 SE PLACITA COURT
Legal Desr:ription:
Property -tax lD #:
Site Plan Name:
341 9-550-01 0B-000-2 Lot No
Block No.
Project Name:
Setbacks Front Back: ____ Right Side:Left Side;
I oerntro DESCRIPTIoN oF woRK: I
I
LIKE FOR LIKE CHANGEOUT \
2 roN 14 SEER 5 KW( P[Kh[Ly AIt )
CONSTRUCTION I N FORMATION :
a pprv:
Vr HVAC
E lecl.ric
Gas Tank
Plu m bing
[-lc;as t,iping Sh utte rs
Gent-'rator
Windows/Doors
T-l_l:;printters tr l-l noor
TotalSo, [:1. of Construction:
Cost of C.nstruction. S 3888.00 Building Height:
CONTRACTOR:
Name: CHRIS LANC)EL
Company: {lEA COAST AJC
Address: 31 08 INDUSTRIAL 31st STREET
FT PIE:RCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone Ns. 772-466-2400
E-Mail: DAI{ISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
OWNER/LESSEE:
113ms DAVID JIMENEZ
Address:1114 SE PLACITA COURT
6;1y' POFIT ST LUCIE litate:FL
ZiP Code: .34983
p h on e X1s. 7 7 2-21 2-6528
Fill in fee simple Title Holder on next page ( if diffr-'rent
from the Clwner listed above)
lf value of construction is 52500 or rnore, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a prermit.
St. Lucie C:ountv makes no representation that is srantins a permit will authorizr: the permit holder to build the subiect strucrure
which is in conflict with anv dpplicable Home Owders AsSociation rules, bvlaws or and covenants that mav restrict <jr prohibit such
structure. Please consult with your Home Owners Association and review your cleed for any restrictions Which may apply.
In consideration 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 Countv 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 accessory uses to another non-residential use
WARNI[\lG 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 musll be recorded 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 recordin r Notice of Commencement.
Signature oY]jontractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
Iff ffi ;i :;' wt$xlu- :f lryi"J.''
CFIRIS LANGEL
Personally Known x _ OR Produced ldentification
Tvpe of ldenl.ification Produced
f!6. FFe6145s (Sea l)
Revised 0711512014 i^ii:s?:l"J:,','.:;"a.
person acknowledging )
gnature oI Notary Public- State of Florida )
SUPPLIMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
MORTGATGE COMPANY: Not Aoolicable
Name:
State:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
BONDING COMPANY: Not Aoolicable
Name:
Signature of Owner tractor as Agent
STATE OF FLORIDA
COUNTV OF srLUcrE
(Name of person acknowledging )
nature of Notary Public- State oF Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
commission [\s. FFe6145e s,Il;'*
.'l.l;;;t*
FRONT
COUNTER
PLANS
REVIEWREVIEW
SU PERVISOR
REVIEW
EA TURTLE
REVIEW
MANGROVE
REVIEW
-ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
10/18/17
Date: Permit Number:
..._01
- Building Permit Application
Planning and Development Services
Suilding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34981
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 154 SE PLACITA COURT
Legal Description:
Property Tax ID#: 3419-550-0108-000-2 Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE CHAN EOLIT
.1�5TON 14 SEER 5 KW Q Ade.
MponsWOM to 11knerf, Med uncler Js petnalt_c c ethm appy:
✓HVAC Gas Tank nGas Piping Shutters Q Windows/Doors
—111 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 3888.00 Utilities: Sewer OSeptic Building Height:
Name DAVID JIMENEZ Name: CHRIS LANGEL
Address:154 SE PLACITA COURT Company: SE4A COAST A/C
City: PORT ST L.UCIE State:FL Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 34983 Fax; City: FT PIERCE State:FI-
Phone No.772-212-6528Zip Code: 34946 Fax: 772-466-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: DANISEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CMC035421
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Y",
OFFICE USE ONLY: f �� .• f`
DATE FILED: ILL-ig-19PERMIT
#
REVISION FEE: RECEIPT#
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODEREGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982.6652
(772)462.1653
APPLICATION'FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS.
DETAILED DESCRIPTION OF PROJECT
REVISIONS: -
f n-i-
I Ul I
CONTRACTOR INFORMATION:
All
STATE of FL REG./C T. #1. ST.LUCIE CO CERT.#:
BUSINESS NAME:
QUALIFIERS NAME: '
ADD
CITY: STATE:
PHO AYTIME):
OWNER/BUILDER INFORMATION:
NAME: nez
ADD
CITYlVOS ZIP: x
PHONE(DAYTIME- .- FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
SLCCC: 9/23/09
Revised 06/30/17