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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03/05/2018 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 PROPOSED IMPROVEMENT LOCATION: Address: 7 VISTA DELAGUNA —_ Legal Description: ---- Property Tax ID #: 1301-111-0001-000-5 Site Plan Name: Project Name: DONNA INGIME Setbacks Front Back: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE A/C CHANGEOUT 15 SEER, 4 TON, 10 KW Right Side: Left Side: CONSTRUCTION INFORMATION: Additional work to-b—e—DerTorme un er t is permit —check a ❑✓ HVAC Gas Tank F]Gas Piping 11 Electric ❑ Plumbing 1:1Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 4500.00 OWNER/LESSEE: Name WYNNE BUILDING CORP Address: 12804 SW 122ND AVE that apply: _ Shutters Generator SFt. of First Floor: Utilities:] Sewer 11 Septic City: MIAMI State: FL Zip Code: 33186 Fax: Phnne No 772-464-2330 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: CHRIS LANGEL Lot No._ Block No. ❑ Windows/Doors Roof Roof pitch Building Height: Company: SEA COAST A/C Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 F -Mail. DAN ISEACOASTAIR@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 MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: City: Address: City: State: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable _Not Applicable BONDING COMPANY: Name: Name: Address: City: Address: 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 towild which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that the subject structure ay restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restriction which may apply. which In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, p 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: roomadditions, 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 y ur paying twice for improvements to your property. A Notice of Commencement must be recorded and osted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commen i work orreWrd' our Notice of Commencement. s Signature of Owner/Les e/Contractor as Agent for Owner Signature o Contractor License o er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST Lucie The f oing Inst e t w knowledg efore me ff The f Ing instru nt was ac no this day of rY ledge fore me by this day of 20tby CHRIS LANGLL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) r - CA ( ignature of Notar Public- State of Florida ) U( nature of Notary Public- State f Florida ) ersonally Known x OR Produced Identification Personally Known x OR Pro uced Identification Type of Identification Produced Type of Identification Produced Commission No. FF 4g}a.� ""°" •�",—N£TINA L N i I CONNELLY Commission No. FF941411 IN KINSLONNEILY ccimmsSioN # FF 941411 M� ©Mtitl3Si0N # FF 941 4= J. 'F pF'i '' Bonded Th u Notary Public U derwriters g of gin camber 6, 2019 d{d+v Public Underwriters Revised 07/15/ 2 — - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS