HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/05/2018
Permit Number:
11 Ji
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: 15 LAGOS DEL NORTE
Legal Description:
Property Tax ID #: 1301-111-0001-000-5
Lot No.
Site Plan Name:
Block No. _
Project Name: THOMAS REISINGER
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OFWORK:
LIKE FOR LIKE A/C CHANGEOUT
15 SEER, 4 TON, 10 KW
CONSTRUCTION INFORMATION:
Additional wor to e❑ej r orme under thisrmit — check
HVAC Gas Tankas Piping
Electric Plumbing ❑prinklers
a apply: --
Shutters rs aW ndows/Doors
_
Generator Ll Rc of Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 5146.00 Utilities:
Sewer 7 Septic Building Height:
DOWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP
I Name: CHRIS LANGEL
Address: 12804 SW 122ND AVE
Company: SEACOAST A/C
City: MIAMI State: FL
Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 33186 Fax:
City: FT PIERCE State: FL
Phone No. 724-977-5120
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@A L.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:
FRONT
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
Address:
City: State:
Zip: Phone:
SEATURTLE
State:
MANGROVE
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY:
Name:
Address:
City:
Not Applicable
REVIEW
REVIEW
Zip: Phone:
Zip: Phone:
REVIEW
REVIEW
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 uild 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: roor i additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothe 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 wilq lender or an attorney before
commenciniz,work or recordina? your Notice of Commencement. / ' /7
Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
ntractor as Agent for Owner
The r oing inst m a knowledg efore me
this day of 20 LLLby
CHRIS LANGEL -"-
(Name
(Name of person acknowledging )
re of Notarf Mblic- State of
Yersonally Known x OR Produced Identification
Type of Identification Produced
Commission No. dew
JV[IKJ\L.mn �q�411
�+ Ej�plR pe ember 6, 20i a
Revised 07/15
Signature pf bntractor/License Hol
STATE OF FLORIDA
COUNTY OF ST LUCIE
Theoing inst t wa a no ledgfore me
this day of 20 by
CHRIS LANGEL
of person acknowledging )
(Sigrybture of NoTary Public'St
Personally Known x OR
Type of Identification Produce(
Commission No. FF941411
a)
Identification
My1DWpft►N FF 941411,
EXPIRES: December 6, 2019
Bonded Thru Notary Put io Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS