HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ITCCEPTED
g61.s' 10119117 Permit Number:
Building Permit Application
Planning ond Development Services
Building snd Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-Is53 Fax: (7721 462-!578 Commercial Residential x
Lega I Description:
Property Tax lD #:
Site Plan Name:
1 301 -608-0009-000-6 Lcrt No.
Block No.
Project Name:
Setbacks Front Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 15 SEER 8 KW PACKAGE A/C UNIT
r rnrs 0ermrt -apply:
V
T
HVAC
Electric
Gas Tank
Plumbing
lleas eiping T Shutters
Generator
l-l *'noo*s/Doors
T l_lsprinkters l_lnoor
Total Sq. Ft of Construction:So. Ft. of Firrst Floor:
Utilities: l_l r"*", E t"* Buitding Height:Cost of Construction, S 4436.00
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Address: 6409 DRAWDY PARKWAY
N3ms BRENDA SINGLEY
Address: 6409 DRAWDY PARKWAY
City: FT PIERCE State:FL
ZiP Code: 34951
p hone y1s. 7 7 2-480-91 47
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHttlS LANGEL
Address: 3108 INDUSTRIAL 31st STREE'I
City: FT PIERCE State:FL
p6y. 772-466-3053
phone y1s. 77 2-466-2400
E-Mail : DAN ISEACOASTAIR@AOL.COM
State or County License: CMC03542'I
I certify that no work or installation has commenced prior to the issuance of a permit,
St, Lucie Countv makes no representation that is srantins a permit will authorizer the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owhers As5ociation rules, bvlaws or and covenants that mav restrict rjr 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, 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 rSounty Amendments.
The following building permit applications 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 Commencernent may result in your paying twice for
improvements to your property. A Notice of Commencement must 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 recording Vour Notice of Commencemenr.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SIJPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
MORTGAGE COMPANY: _ Not Applicable
Name:
State:
7ip: __Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add
City
zip:
BONDING COMPANY: _Not Applicable
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
STATE OF F:LORIDA
il lq" [i ]"' E]Jtifiiy"* H i"J" "
Signature of Contractor
Personallv Known x OR Produced lden
Type of ldentification Produc
Commission l\o.
(Name of person acknowledging )
ture ol'Notary Public- State of Florida )ature of Notary Public- Statiof Florida )
Personally Known x OR
Type of ldentification
Commission [\e. FFs61
D ANEuur^ ltt i. e P no t
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