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: Mechanic I
Address: 6642 ALEMENDRA STREET
Legal Description:
Property Tax ID #: 1301-603-0149-000-4
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
LIKE FOR LIKE HVAC CHANGEOUT: ELECTRICAL SUB CONTRACTOR/PRIDE:
5 TON 14.5 SEER 9 KW BRING WIRES FOR NEW A/C SYSTEM UP TO CODE
CONSTRUCTION INFORMATION:
Additional work to b rtormed under this permit —check all h appy:
❑✓ HVAC Gas Tank Gas Piping_ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing []Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 6823.00 Utilities:'nSewer Septic Building Height:
Name THOMAS DUTCHER Name: CHRIS LANGEL
Address: 6642 ALEMENDRA ST Company: SEACOAST A/C
City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 34951 Fax: City: FT PIERCE State: FL
Phone No. 772-672-4122 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
from the Owner listed above) 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:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
I certify that no work or installation has cornmenced'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
commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
Theing instr t w kn ledg efore methis day of , 20Wby
C?iRIS LANGEL
(Name of person acknowledging )
Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identificati
Type of Identification Produced
Commission No. FF961459
Revised 07/15/2014 '7X4
c�6147 ,
MY GO`t'FSFebcUatrvw�
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCE
The oing instrN",20[rby
wledgfore me
this day of
CHRIS LANGEL
(Name of person acknowledging )
Agnat,re of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
pN
Commission No. FF961459cwt
1. u i!A' 1459
OMM1SSlot4 .. 16.2020
!m
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS