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HomeMy WebLinkAbout3901 St Lucie BlvdALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 118118 Permit Number: 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 PERMIT APPLICATION FOR: Mechanical Address: 3901 ST LUCIE BLVD Legal Description: Property Tax ID #: 1432-221-0001-000-6 Site Plan Name: Proiect Name: Commercial X Residential Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE CHANGEOUT 3.5 TON 15.5 SEER 9 KW Lot No. Block No. Additional work to be ertormed unser tnis permit— cnecK an apply: HVAC Ei Gas Tank []Gas Piping Shutters a Windows/Doors 11 Electric El Plumbing E]Sprinklers ElGenerator E]Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 6465.00 Utilities:Cn Sewer r] Septic Building Height: Name GEN123 PROPERTIES LLC Address: 725 3 40th ST City. HOLLAND State: MI Zip Code: 49423 Fax: Phone No. 772-465-6006 E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: CHRIS LANGEL Company: SEACOAST A/C Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 E -Mail: DAN ISEACOASTAI R@AOL.COM State or County License: CMC035421 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. V S ^.�.. ,. 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: 1 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 commencine work or recp4idiMyour Notice of Commencement. A� s Signature of Owner/Lessee/Contractor as Agent for Owner SignkLwI6 of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE The oing instr ment was acknowledgefore me The f rgoing in rument was acknowledgedbefore me 1by this t day o 20 by this day o 20 ORIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. FF961459 (Seal) sion No. FF961459 (Seal) r 1 WE LLE M=�SSE�AN Er`1.E 59 FiQbYtaB?020r •:; MY COMMISSI 16.2020` '•_ MY COMMISSION LF6Revised 07/15/2014 'v1RES Februawm EXr�1REg ,AV REVIEWS FRONT ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS