HomeMy WebLinkAbout843 Osprey LaneALL APPLICABLE INFO I\IUIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11116117 Permit Number:
NRS*W
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-Is53 Fax: (772) 462-1578 Commercial Residentia I x
PERMITAPPLICATION FOR: Mechanicsl
Legal Description:
Property Tax lD #:
Site Plan Name:
1410-502-0301 -000-3 Lot No.
Block No.
Project Name:
Setbacks Front Back: ___ Right Side: __ Left Side:
DETAILED DESCRI.PTION OF WORK:
LIKE: FOR LIKE CHANGEOUT
2 TON 15 SEER 1O KW PACKAGE A/C UNIT
atwo s permrr - c a00tv:
Mruo.Gas Tank
F'lu m bing
l_]cas eiping
l_lsprinkters
Shutters
Generator
l_l *,nro*s/Doors
f] r,u.,,.'.tr_LI l_lnoot
Total Sq, Ft of Construction:
Cost of Construction' S 4312.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3'108 INDUSTRIAL 31st STREET
City: FT PIERCE )rare:, -
ZiP Code: 34346 p6y. 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03542'1
PROPOSED I M PROVEM ENT LOCATION :
Address: 843 OSPREY LANE
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:
NarT|e JAMES SMITH
Address:75 PINEWOOD TR
BRIDGEWATER State:MA
7in.nAo. 02324
phole 11e.508245-2861
Fill in fee simple Title Holder on next page ( if dlfferent
fronr the Owner li:;ted above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU PPLEM ENTAL CONSTRUCTION -IEN LAW INFORMATION:
DESIGNER/ENGINEER:
-- Not Applicable
Name:
Ad d ress:
City:
7in,
State:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Add ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Ad d ress:
City:
7ip:Phone:
BONDING COMPANY: Not Aoolicable
Name:
Address:
City:
zip:P ho ne:
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 subiect structurewhich is in contlict with anv applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict <jr orohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions i,rihich may appty.
In consideration of the granting of this requested permit, I do hereby agree that lwill, 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 Commencernent may result in your paying twice for
improvements to your property. A Notice of Commencement must be recoided and iosted bnlfre jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney bef6re
cornmencing work or recording your Notice of Commencement.
Revised 0711512014
IN ITIALS
Signature of Owner Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
f person acknowledging )
Notary Publlc- State of Florida )
Personally Known x _ OR Produced ldentification
Tvpe of ldentification Produced
Commission \9. FFs61459
STATE OF FLORIDA
COUNTY OF
Signature of Contractor/License Holder
Personallv Known x OR Produced ldentification
e of ldentification Produced
ission No. FFs61459
son acknowledging )
tu-i6 of Notary Public- State of Florida )
ffr'lirirr
FRONT
COUNTER
VEGETATION
REVIEW
PLANS
REVIEW
SUPERVISOR
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW