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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE .ACCEPTED Darc. 10t19t17 Pr3rmit Number: Building Permit Application Planning ond Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462_I5j8 Commercial Residential x PERMIT APPLICATION FOR: Merchanical Address: 3880 N 41A #505 Legal Description: Property Tax lD #: Site Plan Name: 1 423-805-0082-000_1 Lot No Bh:ck No. Project Name: Setbacks Front Back:Right Side:Lreft Side: LIKE FOR LIKE CHANGEOI-'T 5 TON T? ETN WATER SOURCE HEAT PUMP (NO ELECTRIC KW) CONSTRUCTION I t\ FORMATION : ton permtt -apolifiV!HVAC Gas Tank Plumbing Itr Cias t,iping Siprinklers S h utte rs Genelrator l-l *,noo*s/Doors E lect ric r tr l-l noot l--] Roorpitch Total sq, Ft of Construction:Sq. Ft, of First Floor:--lUtilities: I lsewer I lseptic Building Heigfrt: Cost of Construction. S 6248.00 Name: CHRIS LANGEL Company:€iEA COAST 4/C Address: 31 08 INDUSTRTAL 3.lst STREET City: FT PIERCE State: FL ZiP Code: 34t'946 p1y. 772-466-3053 p hone y1s. 7 7 2-466-2400 E-Mait: DANISEACOASTATR@AoL.COM State or County License: CMC035421 lf value of construction ir $zsoo oimor", . neconoED N;tiilit"r1n"r,*."r,t i, *q,r^d. PROPOSED IM PROVEM ENT LOCATION : DETAILED DESCRIPTION OF WORK: OWNER/LESSEE:CONTRAC,TOR: ry3mg ALBERT KTSHEL Address:6707 BEAR CREEK BLVD g;1u. BEAIT CREEK TWp Zip Code: :t87!? phone 51s, 77 2-465-41 81 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) tnH, worK or recordinLUilililelrurnB worK or recording your Notice of commencement. I certify that no work or installation has commenced prior to the issuance of a rrermit. St. Lucie Countv makes no representation that is Brantjng a permit will a.uthorizr: the permit holder to build the subiect structurewhich is in qonflict with anv a'pplicable Home owhers As5ociation rules, bvlaws or and covenants that mav restrict or prohibit suchstructure' Please consult with your Home owners nssoCiatlon a;a re;i6;'ioi;iateed'fo;;ny'reilii'iiicjrir'i'iriiir,'lil'vidpiv.' " ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Floridi Building codes andit. Lrcie couniy 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 ac,cessory uses to another non-residential use : Your failure to Record a Notice of Commencement may result in your paying twice forproperty' A Notice of Commencement must be recol'ded and iosted bn-the loOsiteion' lf you intend to obtain financing, consullt with lender or an attornev Oei6ie- DESIGNER/ENGINEER: _ Not AppiE; Zip: __Phone: Ad d ress: MORTGAGE COMPANY: _ Not Applicable Name: City:_ State: 7ip: __Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Add ress: BONDING| COMPANY: Not Applicable Name: COUNTY OF srLUcrE Signature of Owner ontractor as Agent STATE OF FLORIDA (Name of person acknowledging ) ature of Notary Public- St5te of fton'Ua ) Personally Known X OR produced ldentification Type of ldentification produced commission [\9. FFe6145e STATE OF FILORIDA COUNTY OF Signature of Contractor acknowledging ) ture of Notary Public- State of Florida ) Personally Kn,cwn OR Produced ldentification Type of ldentification Produced Revised 0711512014 ffi!_'llii5,*i;; FRONT COUNTER ZONING REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW