HomeMy WebLinkAboutBuilding Permit Application May. 8. 2018 11 ,44AM No. 0103 P. 2
ALL APP BLjrI,NFA T BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date:
Permit Number:Isn -
LS L11141.4 a
RECEIVED
Building Permit Application MAY 0 8 2018
Planning and Development Services
Building and Code Regulat!2n DlvWan ST. Lucie County, Permitting
2300 WglnlaAvenue,Fort lerce FL 34982
Phone: (772)462-1553 ax: (772)462-1578 Commercial _ Residential
LPEIRMIT.APPLICATIONFOR: Mechanical
Address, A(--I I L2q, _-_,T1", K) V(,A
Legal Description:
01
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name: hh i I �t
Setbacks Front iBack: Right Side: Left Side:
I
LIKE FOR LIKE A/C C IANGEOUT <349 a
oclitional work toa orme under is permit—C ec aT
p y1✓ HVAC as Tank EIGas Piping _ utters ❑Windows/Doors
11 Electric ❑Plumbing Sprinklers a Generator Roof Roof pitch
Total Sq. Ft of Constructio II, S . Ft. of First Floor:
Cost of Construction:$ Utilities: Sewer 11 Septic Building Height:
I
Name ame: CHRIS LANGEL
Addre -Company: SEACOAST A/C
City: e: Address: 3108 INDUSTRIAL 31st STREET
Zip Code I City: FT PIERCE State:FL
Phone No. 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: INFO@SEACOASTAIR.COM
from the Owner listed ab,3ve) State or County License: CMC035421
If value of construction is$2 00 or more,a RECORDED Notice of Commencement Is required.
May. 8. 2018 11 :45AM No. 0103 P. 3
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicaole
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not 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 I will,in all respects,perform the work
in accordance wlth the approved plans,the Florida Building Codes and St.Lude 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-residentlal 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 ender or an attorney before
commencin Ark or recordingo Notice of Commencement.
l
s
Signature of Owner/Lessee/ ontractor as Agent for owner Signature ontractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUN I I/OF STLUCIE COUNTY OF BTLUCIE
Thef Ding Inst s acknowledg fore me The f r Ding instr t as acknowledgLTbv
fore me
this!day of 20by this day of 20 .
CHRIS LANGa-- CHRIS LANGEL
(Name of person acknowled ing) (Name of person acknowledging
nature of Notary Pubic-State o Florida) ( I nature of Notary P lic tate of Florida)
sonally Known x OR Produced Identification Personally Known.x OR Produced identification
Type of Identification Produced Type of(dent(#settrrzr
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Revised 07/19* yr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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