HomeMy WebLinkAboutBuilding Permit Application ALL APPLICIABE F7 M?J BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, Pen-nit Number;
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34992
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: MeChanical
Address, 2110 OAK DRIVE
Legal Description:
I U\-X)e. IG Oa~ d-o Lk 0- atJ t
Property Tax ID#; HIDDEN IN SYSTEM Lot No.
Site Plan Name: Block No.
Project Name: CLIFF BARNES
Setbacks Front Back: Right Side: Left Side:
4
71 7:
RW 4
R.N.
LIKE FOR LIKE A/C CHANGE OUT 2 TON, 19 SEER, 4 KW
T
F
.......... ---- ---
Additional WorK to U rtorm 0 under this permit—check all apply:
ZHVAC GasTankLIGas Piping Shutters Ll Windows/Doors
❑Electric ❑ Plumbing OSprinklers Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: S' Ft.of First Floor:
Cost of Construction:$ 7356,00 UtilitiesSewer ElSeptic Building Height:
;ALT F.
0
Name CLIFF BARNES Name: CHR18 LANGEL
Address:2110 OAK DRIVE Company: SEACOAST A/C
City-, FT PIERCE State:FL Address: 3108 INDUSTRIAL 31st STREET
Zip Code; 34949 Fax: City: FT PIERCE State;FL
Phone No.772-519-1814 Zip Code: 34946 Fax: 772-466-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder an next page(if different E-Mail: DANISEACOASTAIR@AOL.COM
from the owner listed above) State or County License., CM0035421
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City. City:
Zip: Phone; Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assonation rules,bylaws or and covenants that may restrict or 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 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 must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of 0w.e;/Lessee/Contractor e
s Agent for Owner si re o Contractor/License Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OFSTLucIe
The f oing Inst m acknowledg fore me The oing instr mv�a�acknowledg fore me
this day of 20by this day of yy ZO by
CHRIS LANGEL 1 CHRIS LANGEL
iiersonally
meofpersonackn wled ing) (Name of person acknowled ng)
A C
irta
gnature of Notary Public-State of FloridaaSignature of Notary Public-State of Florida Known x OR Produced Identification ersonally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No, FF Commission No.M MI NJOR14104 Rim
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Revised 07/15/ ' Fr, ' Cowdmnor04Yau*Un,,,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS