HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10119117 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL j4982
Phone: (772) 462-1553 Fax: (772\ 462.1,578 Commercial Residential x
PERMITAPPLICATION FOR: Mecharrical
PROPOSED IM PROVEMENT LOCATION :
Legal Description:
Property 'fax lD #:
Site Plan Name:
1 30 1 -609-0057-000-0 Lot No
Block No.
Project Name:
Setbacks Front Back: __ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE
4 TON 16 SEER
CHANGEOUT
8KW
CONSTRUCTION I N FORMATION :
tona s perm a oolv:
V
T
HVAC Gas Tank
Plu m bing
l-le as eiping S h utte rs
Generator
TI Windows/Doors
RoofElectricI[-lsprinkters L_t
Total Sq. Ft of Construction:Sq, Ft. of First Floor:
Ut t es:l-lr"*", It"*Cost of Construction. g 7215.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company: 9EA C9AST tuC
Address: 3108 INDUSTRIAL 31st STREE I-
City: Fr llElCE State: FL
ZiP Code: 34946 pu*. 772-466-3053
phone Ns.772-466-2400
E-Mail : DAN ISEACOASTAI R@AOL.COMI
State or Countv License: CMC035421
Address: 6202 EMERSON AVENUE
OWN ER/LESSEE:
N3 m g CHERLY/JAMES BROWNE
Address: PO BOX 650278
city: VEI9 BEACH State: FL
Zip Code:!?q6!
P hone 111o. 7 7 2-460-57 40
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.
I certify that no work or installation has commenced prior to the issuance of a permit.
St LucieCountvmakesnorepresentationthatisglantjngapermitwill a.uthorizethepermitholdertobuildthesubiectstructurewhich is in conflict with any a'pplicabie Horiie bwhers AsSociation rules, byiiwi;i;nd;;v;;;itiihat mav restrict or prohibit suchstructure, Please consult with'ri our Home owneis AsloI'r-atioir';;ij'rc;i6;'ioijio"e.:,t roii.v'r.tiiitii,irir'niriiir.'li jv".ilpiv,""
in consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and Et, Lucie 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 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
flPj""^":3."11'_l9I^"^rj,Pi"ggfll:41"t199 of commencement must ne reco'rueo rni b;;iJJl,ii"tr.r"';,luiit.before the first inspection, lf.you intend to obtain inancine, ionsult with lender ";;;;ii;;;y i;;ij;;commencing work or recording your Notice of Commenceilenr,
nse Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
Personally Known x OR produced ldentification
Type of ldentification Produced
mmission No. FFs61459
Revised 0711512014
CHRIS LANGEL
rson acknowledging )
re of Notary Public- State of Florida )
UCTION LIEN LAW IN FORMATION:LrrL/tt Lil_t! Lf1 vv il\t-\Jnlvlf\ll\Jl\.----;; -.-.-__ l\ot /{ppltcable MoRTGAGE CoMpANy: Not Applicable
Ad d ress:
State:Zip: Phone:
DESIGNER/ENGINEER: __ Not nppticanle
Ad d ress:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
STATE OF FLORIDA
COUNTY OF srLUcrE
Personally Known X OR produced ldentification
Type of ldentification produced
CommisSion No. FFe6145s (Sea l)
Signature of Owner/Lessee/Contractor
(Na f person acknowledging )
ature of Notarv Public- State of Flo
Fi
.J-??#:';il;;' 16, 2020 i*t,*ts Fobruary 16' 2o2o
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