HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 any 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
commenciaR work or recording your Notice of Commencement .41_y.19
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P'L 041- s
re of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
The f r oing ins ment was acknowledged before me
this day of 20 Llby
CHRIS LANGEL
(Name of person acknowledging )
gnature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission NO. FF961459
Revised 07
TJ
MY COMral
EXPIRES NebnlerY�B,
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this.day of b , 20 LL_ by
CHRIS LANGEL
(Name of person acknowledging)
0@_U�_ —
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF961459
DANELLE M WESEMAN
My COMMIS 16 2020
ExplRES February
IAQ71' ,
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/29/17
Permit Number:
�d4 J- I I
Building Permit
Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4205 METZGER ROAD
Legal Description:
Property Tax ID #: 2407-111-0002-000-0
Lot No. ___
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
[DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2.5 TON 16 SEER 6KW
CONSTRUCTION INFORMATION:
Additional worK toe perrormeun er t is permit — c ec
❑✓ HVAC Gas Tank ]Gas Piping
FlElectric ❑ Plumbing E]Sprinklers
a app y:
_ Shutters ❑ Windows/Doors
E]Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4875.00 Utilities:
S Ft. of First Floor:
Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAVIS HOLDING COMPANY LLC
Name: CHRIS LANGEL
Address: PO BOX 186
Company: SEACOAST A/C
City: FT PIERCE State: FL
Zip Code: 34954 Fax:
Phone No. 772-461-8335
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
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
State or County License: CMC035421
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.