HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED
Date: 11/09/2017 Permit Number:.
Building Permit Application
RECEIVED
Planning and Development Services
Building and Code Regulation Division NOV 13 2017
2300 Virginia Avenue,fort Pierce FL 34982
Phone: (772)4621553 Fax: (772)462-1578 Commercial eft itt rtment
PERMIT APPLICATION FOR: Mechanical St. Lucie County;
FL
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Address: 2 SANTA CRUZ WAY
Legal Description:
Property Tax ID#: 3427-111-0002-000-5 Lot No.—
Site
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Site Plan Name: _ Block No.
Project Name: JIM FRASER
Setbacks Front Back: Right Side: LeftSide:
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LIKE FOR LIKE A/C CHANGE OUT 3TON, 14 SEER 8 KW
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�Itiona wor to e e orme under this permit—c eG a appy:
I (HVAC Gas Tank DGas Piping _Shutters L Windows/Doors
Electric ❑ Plumbing []Sprinklers 01 Generator Roof goof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4300.00 Utilities:11Sewer Septic Building Height:
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Name WYNNE BUILDING CORP(FRASER) Name: CHRIS LANGEL
Address:8000 5 U.S.#1 _ Company: SEACOAST A/C
City: PT ST LUCIEState:F� Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 34952 Fax; City: FT PIERCE State:FL
Phone No,978-569-5117 Zip Code: 34946 Fax: 772-466-3053
E-Mail: _ Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: DANISEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CMC035421
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 TITLEHOLDER: 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with au applicable Home Owners Association 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 tecording your Notice of Commencement.
W�
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Signature of Owner/Lessee/ ontractor as Agent for owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLuoiE
d he
The Bring instrum tit -s�apknowiedgefore me The f g ng instr nt was acknowledgfore me
this day of V 20 14by this day of V 20 by
of KIS LANGEL CHRIS I ANGEL
(N me of person acknowledging) me of person acknowledg�n
0. !t
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JPsoan'ally
nure of Not ry ublic-State of Florida0
( g1 ure of Notary Public State of Florida
Known x OR Produced Identification f x R roduced identification
e of Identification Produced ITJOIRL
:.� MYCOMMIMMMA1417
Commission N JUMNA11KOPN &LY C N&Jtl 9lbcember6,2Ois (Seal)
IS5110ak i ,,' Bonded ThmNoiWRubraVr4Wwffln
EVIRES:December s,2019
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Revised 07 152014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW . REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS