HomeMy WebLinkAbout6533 GaviotaALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/10/18 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 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 6533 GAVIOTA
Legal Description:
Property Tax ID #: 1306-500-0017-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: _
LIKE FOR LIKE CHANGEOUT
5 TON 15 SEER 6 KW
Right Side: Left Side:
Lot No.
Block No.
Aaaitionai worK to be ertormea unser tnis permit— cnecK an apply:
❑✓( HVAC Gas Tank DGas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing []Sprinklers 1:1 Generator ElRoof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 7280.00 Utilities:n Sewer Septic Building Height:
Name ALBERT THOMAS
Address: 6533 GAVIOTA
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-464-5677 631-355-6030
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.
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:
Address:
BONDING COMPANY: Not Applicable
Name:
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 thepermit 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
commencing work or recording our Notice of Commencement.
_ s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA 6,LSTATE OY OF- FLORIDAL���
COUNTY OF
Theeclay
ing instru ent was acknowledgld of efore me
this�%� 20 _by
1.0
CHRISTOPHER LJ ANGEL
(Name of person acknowledging )
AiUYAUUJLJA*-9LX111 -
(Signature of Notary Public- State of Florida )
Personally KnownOR Produced Identificati
Type of Identificatic Produced �■ w{'SE N
Thefq�going instr ment was acknowledgegfore me
this � day o VX- Y 20 by
CHRISTOPHER LANGEL
(Na of person acknowledging )
ignature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
N0 -1-l" -
Commission No. =' r '� DA COM"MRN 16#FF9,,in6i 459 Comm
'•• FebruaN . 2020
Revised 07/1
DANELLE M WES
MYc6kMsatF3SION # FFA
9
EXPIRES February 16, 2020
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