HomeMy WebLinkAboutBuilding Permit Application r
ALL APPLICABLE FO MA115T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: — _ Permit Number:
RECEIVED
Building Permit Applicati ` n MAY 0 3 2018
Planning and Development Services
Building and Code Regulatipn Division ST. Lucie County, Pormltting
2300 Virginia Avenue, Fort I fierce FL 34982
Phone: (772)462-1553 iFax: (772)462-1578 Commercial _ X Residential
PERMIT APPLICATION FOR: Mechanical
Address;,_ i tu
Legal Description:
Property Tax ID#: Lot No,
Site Plan Name: I Block No.
Project Name: !1->t prom
Setbacks Front iBack: Right SidEJ Left Side:
i
LIKE FOR LIKE A/C C ANGEOUT
I (D t"�IJLJ
( �e— e—p-,
Alditional worK to b
( orme Wer perm) –check all that appy:
HVAC LJ Gas Tank []Gas Piping _Shutters a Windows/Doors
I
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction : S . Ft. of First Floor:
Cost of Construction:$ Utilities:cnSewer Septic Building Height:
Name amt: CHRIS LANGEL
Addres . 1�_� Company: SEACOAST A/C
City: State-: Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 1:ax: 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 above) State or County License: CMC035421
If value of construction is$2500 or more, a RECORDED Notice of Commencement is required.
11
xfiS":Uat';PPLEx Mu•E� N,Tze Ai» �RfiUtr`CrtxI's:I�'O�N;�.LaEt,E. .N�z�LAW I .� TIO�NODR,IV"ACO.i <�eLSN �
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
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 thepermit 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 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: room 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 firs inspection. If you intend to obtain financing, consult with ender or an attorney b e
commencing rk or recordj.Rgy6u7 Notice of Commencement.
s
OiA 2�z -_ -
Sign atuOwner/Les e/Contractor as Agent for Owner Signatu Contractor/Licen older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OFSTLUCIE
The ,k-%ping ins e was acknowled efore me The Ting ins t n was acknowledg efore me
this �ay of
20 by this day of 20�by
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowled ing) (Name of person acknowledging
V1 P I Nil _h
nature of Notary Public-State of Florida ) ( I nature of Notar Pu lic-State of Florida)
sonally Known X OR Produced Identification Personally Known R
Type of Identification Produce ' '
ATYP -$1N 0414
PgComim
JU5tINALNOPIONSCONNELLY Commission No „ dPrdvdlnrM4tar;a. f0 Q018
Commission No. FF
ATI% YCOMMjsfF941411
.
_�. 11
EXPINES:December 6,2019
R ; • onrie f Thru votary Public Underwriters
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Revised 07/15/2014
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DATE
COMPLETE
INITIALS