HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE I\CCEPTED
Darc. 10125117 Perrmit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721462-1553 Fax: (772) 462 1,518 Commercial Residentia I x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1431-322-0001 -020-9 Lot No,
Block No.
Project Name;
Setbacks Front Back: ___ Right Side:
LIKE FOR LIKE CHANGEOUT
5 TON 16 SEER 1O KW
CONSTRUCTION I N FORMATIOTN :
V
n
s pernltt - c erTqappv: -| | Shutters
[_l c"n"ru,or" oor pitch
HVAC
E lect ric
Gas Tanl<
P lu rn bing
[ -fcas niping
tr_Esprintters
Total Sq. Ft of Construction:
Cost of Construction, S 5725.00 Building Height:
OWN ER/LESSEE:CONTRAI]TOR:
113ms JEFFREY RICHEY Name: CHFIIS LANGEL
Address:2312 KEEN ROAD cnmnrnrr. SEA COAST AJC
city' IrilEn9E State: FL Address: 3108 INDUSTRIAL 3'1 st STREET
Tin anAo. 34946 City: FT PIERCE State: FL
phone 11s. 772-370-5563 ZiP Code: 34946 p3;. 772-466-3053
phone y6.772-466-2400
Fill in fee simple Title Holder on next paEe ( if dlfferent
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03542'1
Address: 2312 KEEN ROAD
DETAILED DESCRIPTION OF WORK:
lf value of construction is 52500 or more, a RECORDED Notice of Commencemernt is required.
I certify that no work or installation has cornmenced prior to the issuance of a permit.
St,. Lucie.County.makes no repre,sentation that_is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls ln conlllct wltn any appllcable Home Owners Association rules, bvlaws or and covenants that mav restrict <jr prohibit suchstructure. Please consult with Vour Home Owners Association and review'your cleed for any restrictions l,ritrictr may apptv.
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 1'rom 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
improve,ments to your prollerty. A Notice of Commencement must be recoi-ded and iosted bnltre jobsite
before the first inspection. lf you intend to obtain finar cing, consult with lender or an attorney before
commencing work or recordi ur Notice of Commencement,
Revised 0711512014
SUPPLEMENTAL CONS'IRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Sta te:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
FEE SIMPLE TITLE HOLDER: Not Aoplicable
Name:
Add ress:
Phone:
BONDING COIVIPANY: _Not Applicable
Name:
STATE OF FLORIDA
COUNTY OF srLUcrE
Signature of Owner
(Name of person acknowledging )
(Signature of Notary Public- State of f lofida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
commission No. FFe61459
Signature of Contractor/
erson acknowledging )
gnature ol'Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Tvpe qt+dentification Produced
l!q. FF961459
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E.AP\RE:-;.:J,Si1y:_:S
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