HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/23/18
Permit Number:
s
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: 1728 PONDBERRY LANE
Legal Description:
Property Tax ID #: 3426-703-0160-000-4
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front _ Back: _ Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE HVAC CHANGEOUT;
3.5 TON 16 SEER 8 KW
Additional work to be nertormedunder this permit — check
HVAC L_J Gas Tank FIGas Piping_
all rhJ appy:
Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 5629.00 Utilities:
Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LEON WARREN
Name: CHRIS LANGEL
Address: 1728 PONDBERRY LANE
Company: SEACOAST A/C
City: PORT ST LUCIE State: FL
Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 34952 Fax:
City: FT PIERCE State: FL
Phone No. 772-979-4308
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: DAN ISEACOASTAIR@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
MORTGAGE COMPANY: _ Not Applicable
Name:
PLANS
Name:
Address:
MANGROVE
Address:
City:
State:
City: State:
Zip: Phone:
REVIEW
Zip: Phone:
REVIEW
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 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.
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Signature of Owner/Lessee tractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST 'LUCRE
The fp�rgping instr t was ac nowledgeefore me
this, of 20 by
CHRIS LANGEL
STATE OF FLORIDA
COUNTY OF ST LUCIE
The f r Ing instrLiment was acknowledgeIby
efore me
this day of r 20
CHRIS LANGEL
(Name of person acknowledging ) (Name of person acknowledging )
4MUW NA&rQUk _j "]Ab3t&O-a-�
gnature of Notary Public- State of Florida) 4gnatuAreof 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. FFssiaes OANE�err'LE �a #SEAN Commission No. FF9sias9 r pANELT W SV 9
ON
Revised 07/15/21 -.ai EXPIRE ,rwa +5e""" `a
0153
tiXPIR�S F
REVIEWS
FRONT 1
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS