HomeMy WebLinkAbout6533 Gaviota REVISE (2)01182018ALL 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
PROPOSED IMPROVEMENT LOCATION:
Address: 6533 GAVIOTA
Legal Description:
Property Tax ID #: 1306-500-0017-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side
Left Side:
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: I
LIKE FOR LIKE CHANGEOUT
CONTRACTOR:
Name ALBERT THOMAS
Name: CHRIS LANGEL
Address: 6533 GAVIOTA
Company: SEACOAST A/C
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-464-5677 631-355-6030
Address: 3108 INDUSTRIAL 31 st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
E -Mail: DAN ISEACOASTAIR@AOL.COM
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CONSTRUCTION INFORMATION:
Additiona I work to be ertormed under
this permit — check
I]Gas Piping
all
appy:
Shutters
Windows/Doors
HVAC Gas Tank
❑ ❑
Roof
Electric Plumbing
Sprinklers
Generator
Roof
pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7280.00
SFt. of First Floor: _
Utilities: Sewer [] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ALBERT THOMAS
Name: CHRIS LANGEL
Address: 6533 GAVIOTA
Company: SEACOAST A/C
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-464-5677 631-355-6030
Address: 3108 INDUSTRIAL 31 st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
E -Mail: DAN ISEACOASTAIR@AOL.COM
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CMC035421
If value of construction is 52500 or more, a RECORDED Notice OT Commencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ ENGINEER
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv
Zip: Phone: _
Not Applicable MORTGAGE COMPANY: — Not Applicable
Name:
A'i rl rP".
State:
Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City-
-
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which
ructure. conflict
lease consult any applicable
Owners Assll Association nreviewyyour deed for any restrictions which maor
aprohibit such
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.
IA4d W t, e �h VJ s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA c STATE OF FLORIDA ����
COUNTY OF St��.�-COUNTY OF
Theor oing instru ent was acknowledgld4efore me
this e day of, 20 _by
CHRISTOPHER 0ANGEL
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identificati
Type of Identificatio Produced N
pAtAF N # FFg61459
Commission No. Y COM4 16, 2020
Revised 07/1
Theoing instr ent was acknowledge fore me
this LZm
day of If1 20 by
CHRISTOPHER LANGEL
of person acknowledging )
t�ignature of Nota r Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
DANIELLE M WES�j�A
Commiss MY ION # FF96g
EXPIRES February 16, 2020
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
PERMIT # I go I -Ql U5 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERM I'll
SU B -CON'T'RACTOR AGR E EM E NT
k. In am v� 1110, idividuai Name)
(" G
the�tGC.�..Q� Sub -contractor for
("Type of Trade)
(Primary Contractor)
For the project located at 460533 JCJzwa z- tl & ��
(Project Street Address or Property Tax ID _�)
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
C0NTRAC'T0R SlG,N rt, RE ( narfier)
_ CAr Is.._
PRINT NANIF
COUNTY CERTIFICATION NUMBER
State of Florida. County nfi�� u �,
_rtV foregoing instrument was si d beforecme this � day of
WAr1 .2011. by J
to is personally kn wnlor bas produced a
STAINiP
me of rotary Public
Rtviseti 11/16/2016
SC . 4RAC OR SIG. "rURE (Oualifier)
PRINT .NA,tE
COUNTY CERTIFICATION NUMBER
State of Florida, County ofi5LLLU'i C
T a foregoing instrument was signed before a WIAav of
v 20 im
w personally known or has produced a
as i ification.
W-L&M "-UOAW
igna ure of Notar Public
Print Name of Notary Public
NFv tA w M FF961 A59
MA coMM1 FebN Fy �s. 2020
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