HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1 Ji J 1-
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 IMPROVEM NT OCATION:
Address: ��U Hof
Legal Description:
Property Tax ID#:0JLJ 21 - ?01' 01C)✓' 11.Li1"A, ----- ----'—�_---..__Lot No, ^---
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under this permit—check all that apply:
ZHVAC LJ Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers 1:1 Generator a Roof Roof pitch
Total Sq. Ft of ConstructioLn`:�M Sq. Ft. of First Floor:
Cost of Construction:$ Utilities:0 Sewer Septic Building Height:
OWN /LESS CONTRACTOR:
Name 0
Name: CHRISTOPHER LANGEL
Addre ( Company: SEA COAST A/C
City: C'Ctt State:FL Address: 3108 INDUSTRIAL 31st ST
Zip Code: Fax: City: FT PIERCE State:FL
Phone No. Zip Code: 34946 Fax: 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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: lNot 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 1 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.
Signature of Own er/Lessee/Co—rftractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The f oin ins m nt was acknowled a fore me The fo oing ins ment was acknowledged efore me
this Q�day of 20 by this Z day of 20 by
CHRIS LANGEL CHRIS LANGEL
(Name of person acknowledging) (Nam person acknowledging)
�A&�Lw —
� U vu
SignaturAf otary Public-State of Florida ) (Signature of Notary Pub Ic-State o Florida
Personally Known x OR Produced Id Personally Known x OR Produced Identification
Type of Identification Produced ^VdES Type of Identification Produced
pEL oN s►FF SEM
Commission No. OA M� 'e 16.2p20 Commission No. FF 1�1E1.� FFg6jog
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:•' SpCP�SS w* '. MY COMMAFebroarN 16,2020
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Revised 07/15/ •' ,w+Isa""
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS