HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/23/17 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: 8004 LAKESIDE WAY
Legal Description:
Property Tax ID #: 1301-603-0149-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
LIKE FOR LIKE HVAC CHANGEOUT
3 TON 16 SEER 4 KW
Right Side: Left Side:
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional work to be ciertormed under this permit — check all h appy:
7 HVAC Gas Tank F]Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing 11 Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5500.00
Sq. of First Floor: _
Utilities: I _I Sewer E Septic
Building Height:
Name DOROTHY PANICHELLA
CONTRACTOR:
Name: CHRIS LANGEL
Address: 2355 SW 15th STREET #72
Company: SEACOAST A/C
City: DEERFIELD State: FL
Zip Code: 33442 Fax:
Phone No. 772-708-0437
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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.
G �
gnature of Owner
STATE OF FLORIDA
COUNTY OF STLuaE
c� 5
Contractor as Agent for Owner Signature of Contra c or/License o der
STATE OF FLORIDA
COUNTY OF ST LUCIE
The fir. oing instr Ent was acknowledge efore me
this day of 20 [Vby
C?iRIS LANGEL
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced i
The�oing instr ment was acknowledgefore me
thi day of 20 by
CHRIS LANGEL
(Name of person acknowledging )
Aignatu'rUeof Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. FF961459 Op1�g Sa10N#FF`�245 ommission
COMM FebNary 16�^02
Revised 07/15/2014 10,
;A� LE M WIAN
MY COMMISSION # F 1459
_-,.,.ry 16. 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS