HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t �l QLC V'A Permit Numb r: _
. 1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ll
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial IKeSi
PERMIT APPLICATION FOR: Mechanical
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:.
Project Name: - �t
Setbacks Front Back
Right Side: Left Side:
I"DETAI-LED DESCRIPTION;OF WORK:
LIKE FOR LIKE CHANGEOUT
ALI
Lot No._
Block No.
CONSTRUCTION INFORMATION: _J
Additional WOM to Be performed un er t is permit — c ec a appy: �
HVAC L__1 Gas Tank ❑Gas Piping _ Shutters a \Nindows/Doors
Electric 0 Plumbing Sprinklers Generator 7 Fttoof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ .�L . W Utilities: _ Sewer E Septic Building Height:
OUVNER%LESSEE:
CONTRACTOR:
Name'
Addres
City:W'Fax: State:FL
Zip Code:City:
Phone No
E -Mail:
Name: CHRISTOPHER LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st ST
FT PIERCE State: FL
Zip Code: 34946 ax: 466-3053
Phone No. 772-466-2400
E -Mail: DANISEACOASTAIR OL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CMC035421
If value of construction is $2500 or more, a RECORDED Notice or t ommencement is requuru.
,..41 4 .. r mA •>i au _- .. .,
a�
s �i .. ., .r .rs,
v`. —„ W.i ...
.., ,: .... :,
DESIGNER/ENGINEER:
Not Applicable
STURTLE
MORTGAGE COMPANY:
Not Applicable
Name:
COUNTER
REVIEW
Name:
REVIEW
Address:
Address:
DATE
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
INITIALS
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 toiId the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that ayrestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restriction which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, prform 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: roo 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 ur paying twice for
improvements to your property. A Notice of Commencement must be recorded andsted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an �ttorney before
commencing work or. recording your Notice of Commencement.
Signature of Owner/Lessee/Contra or as Agent for Owner Signature
STATE OF FLORIDA
COUNTY OF STLUCIE
Theoing instr s acknowledg efore me
thisday of 20by
C4iRIS LANGEL
Name of person acknov
0 (( 'gnature of Notary Public- State of Florida )
rsonally Known x OR Produced Identification
Type of Identification Produced
Commission
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF ST
The2&oiay
ng instru
this of _
cense
CHRIS LANGEL
(Name of person acknowledging)
ature of Notary P60c-
Iversonally Known x OR
Type of Identification Produce)
JUS��A L,�p IONSCONNELL
Y
Commission No. � 1 l-1
MY�VWSSi0N FF 941411
EXPIRES: Decsmbsr 0, 2019
edgefore me
20 by
Florida
d Identification
NA�=NNEL�PIR
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
STURTLE
JRJVIEW
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS