HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE I\CCEPTED
Date: 10119117 Perrmit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 462-L578 Commercial Residential x
PERM IT APPLICATION FOR:
Legal Description:
Property Tax lD #:
Site Plan Name:
3425-703-01 53-000-9 Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side:Left Side:
I oErnrLED DESCRTPTToN oF woRK' Ir--""-_-:_::
LIKE FOR LIKE CHANGEOUT
3.5 TON ,15 SEER 8 KW PACKAGE A/C SYSTEM
CONSTRUCTION I N FORMATION :
rtrona I worl( to permrr -
V
T
HVAC
Electric
Gas Tank
Plu m bing
l_lcas eiplng S h utte rs
Generator
l--l *,noo*s/Doors
tr l_lsprint<ters tr l_l nonr t] Roorpitch
Total Sq. F:t of Construction:
Cost of Construction. S 5083.00 Building Height:
CONTRACTOR:
Name: CHIRIS LANGEL
Company: SEA C-OAST A/C
Address: 3108 INDUSTRIAL 3'lst STREET
FT PIERCE State: FL
ZiP Code: :34946 p3*. 772-2t66-3053
p hone y1s, 77 2-466-2400
E-Mail: DA,NISEACOASTAIR@AOL.COM
State or Cquntv License: CMC035421
PROPOSED IM PROVEM ENT LOCATION :
Address: 3791 HONEYSUCKLE COURT
OWN ER/LESSEE:
113 ms EDWARD EMMENDORFER
Address: 379'1 HONEYSUCKLE COUR'I
g;1y' PORT ST LUCIE State: FL
phone pe.860-426-1375
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
SU PPLIM ENTAL CONSTRI-,ICTION LI EN LAW I N FORMATION :
rp-i-nffiie covrpnruv' _ Not Appticabte
Address:
State:Zio: Phone:
DESIGNER/ENGINEER: _ Not Applicable
: State:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
BONDING COMPANY: _Not Applicable
Address:
I certify that no work or installation has commenced prior to the issuance of a prermit.
St. Lucie Countv makes no representation that is erantins 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 covenants that mav restrict dr prohibit such
structure. Please consult With your Home Owners Association and review'your cleed for any restrictions uihich may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform thel 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 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 property, A Notice of Commencement musli 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.
STATE OF FLORIDA
COUNTY OF
CFIRIS LANGEL
person acKnowl
W''[grLJ
re of Notary Public- State of Florida )
ally Known x OR
of ldentification
ission No,
STATE OF FLORIDA
COUNTY OF srLUcrE
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced ldentific
Tvne of ldentification Produced
Commission l\9. FFe6145e
Signature of Owner Contractor as Agent
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS