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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Darc. 12t18t17 Permit 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.\ 462-1578 Commercial Residential x PER[VllT APPLICATION FOR: Mechanical PROPOSED IM PROVEM ENT LOCATION : ,Address: 7803 LAKESIDE WAY Legal Description: lProperrty Tax lD #: lSite Plan Name: '1301-603-01 37-000-7 Lot No Block No. lProjer:t Name: Setbacks Front Back:Right Side: Left Side: DETAILED DESCRIPTION OF WORK: L-IKE FOR LIKE CHANGEOUT 4 TON 16 SEER 1O KW ldrlronalwor Zruo. appry: l-l *,noo*s/DoorsGas Tank P lu m bing l-l<,as eiping S h utte rs Generator[]u,..,'.'.I S prin klers T l-l noot Iotal Sq. Ft of Construction: Cost of Construction' 5 5981 Sq. Ft. of First Floor: Utilities: l_lr"*", Et.* Buitding Height: 5366. WILLIAM FAGEN Address: 7803 LAKESIDE WAY City:.FT PIERCE ZiP Code: 34951 P h o n e 111s, 7 7 2-51 9-2467 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONSTRU CTION I NFORMATION : OWN ER/LESSEE:CONTRACTOR: Name: CHRIS LANGEL Company: -SEA COAST A/C Address: 3'108 INDUSTRIAL 31st STREET City: FT PIERCE state: I L ZiP Code: 34946 p1y. 772-466-3053 phone Ns.772-466-2400 E-M ait: DANISEACOASTAIR@AOL.COM State or Countv License: CMC035421 lf value of construction is 52500 or more, a RECOREIED Notice of Commencemc'nt is recluired, MORTGAGE COMPANY: _-_ Not Applicable Name: Zip: __ Phone: FEE SIMPLE Name: TITLE HOLDER: _ Not Applicable Add ress: BONDING COMPANY: Not Aoolicable Name: Add ress: INFORMATION: DESIG NER/ENGINEER:_ Not Applica Name: Add ress: City:State: I certify that no work or installption 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 As5ociation rules, bvlaws clr and covenants that mav restrict cjr orohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restriCtions vritriih ma-y a[piy. In consideration of the grantin$ of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approvqd 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, swimmin! pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Ygur failure to Record a Notice of Commencement may result in your paying twice for improve.ments to your prOperty. A Notice of Commencement must be recorded and posted bn tfre jobsite before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before com rnencing work or record in r Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF ST LUCIE eHRIS LANGEL (N : of person acknowledgiriC ) Signature of Notary Public- Stpte of Florida ) Personally Known X OR Produced ldentification Type of ldentification Produceg_ Comnrission No. FFe6145e ffiil*a"'d""n Revised 07 l15l2014 Signature of Contractor/License Holder STATE OF FLORIDA (Name of person acknowledging ) gnature of Notary Public- State of Florida ) Personally Known x OR Produced ldentification of ldentification Produced *''*i1ix[ REVIEWS SU PERVISOR REVIEW FRONT COUNTER VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW