HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MAT BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR: Mechanical
LA C L i I I
cl l r r I �SI PS Nr
Pi e.rcP State: FL
PROPOSED IMPROVEMENT LOCATION:
r�' n �(p(f210
E -Mail:
Fill in fee
Address:
from the Owner listed above)
Legal Description:
I
Lot No.
Property Tax ID #:
Block No.
Site Plan Name:
Project Name:
Setbacks Front ack: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
—_-- -
LIKE FOR LIKE CHANGEOUT 1)5
O ��
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I
CONSTRUCTION INFORMATION:
- -'
Additionalwor to e e orme un er t Is permit — c e
Gas Tank F]Gas Piping
F✓c
a app Y
Shutters
indows/Doors
HVAC
❑Electric El Plumbing 1:1Sprinklers
_
Generator
Roof
Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Ov Utilities: Sewer Septic
B
ilding Height:
Cost of Construction: $
OWNER/LESSEE:
Name i
Address:
city: %t-
Zip Code:Fax:
LA C L i I I
cl l r r I �SI PS Nr
Pi e.rcP State: FL
Phone No.
r�' n �(p(f210
E -Mail:
Fill in fee
simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: CHRISTOPHER LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL 3lst ST
City: FT PIERCE State: FL
Zip Code:
34946 Fax: 466-3053
Phone No. 772-466-2400
E -Mail: I n
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:
DESIGNE
Name: _
Address:
City: _
Zip:
ENGINEER: _Not Applicable
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City -
Zip: Phone: _
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
tate:
_Not Applicable
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
trLucture. Pleasecconith sult with pyourr Hle Home ome Owners Association tlon andrreview your deed orcovenants
any restriction which restrict
may apply.
such
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: rooin 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 I
Signature o er/ Lesse
STATE OF FLORIDA
COUNTY OF STLUCIE
actor as Agent for Owner I Signature of Contractor/License Holder
Theo going inst as acknowledg fore me
thi ay of , 20 Laby
CHRIS LANGEL
(Name of person acknowledging )
nature of Notary Public- State of Florida
PlIrsonally Known x OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF ST LUCIE
The r oing Ins t was ackn wledg fore me
thi=Y of 20 by
CHRIS LANGEL
(Name of person acknowledging )
(Si ature c f Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No c469WL.HOPKIM-CONNELLY ommission No. 4J2-:- tl l
MY COMMIS8i0N # FF 911411
EXPIRES: Oe�ember b. 2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Jl1STINA ..
OMMISS'ON # FF2019
i CIRES. December 6,
Bonded Th u NMary Pint_ �� tE
:A TURTLEI MANGROVE 1
REVIEW REVIEW 1