HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLEINFOMU 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 X
PERMIT APPLICATION FOR: Mechanical
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Address:
Legal Description:
Property Tax ID #:
Lot No.
Site Plan Nam Block No.
Project Name: L
Setbacks Front Back: Righ ide: Left Side:
LIKE FOR LIKE A/C CHANGEOUT �J�� `4 -�OY j K -b -D
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✓❑HVAC Gas Tank ❑Gas Piping In Shutters Windows/Doors
Electric El Plumbing Sprinklers DGenerator El Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ "L t h ) Utilities:Sewer Septic Building Height:
Name
Name: CHRIS LANGEL
Addre
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Company: SEA COAST A/C
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City: _State.
Address: 3108 INDUSTRIAL 31stSTREET
City: FT PIERCE State: FL
Zip Code: - G Fax:
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Phone No.�- q i L _6i [s (Do
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
State or County License: CMC035421
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
INFORMATION:
ZONING
SUPERVISOR
DESIGNER/ENGINEER:
Name:
_ Not Applicable
SEA TURTLE
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
REVIEW
REVIEW
Address:
REVIEW
City:
Zip: Phone:
State:
DATE
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Count yy 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 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
as Agent
STATE OF FLORIDA
COUNTY OF ST LUCIE
The g instr t as ac nowledg efore me
thi ay of 20�lby
STATE OF FLORIDA
COUNTY OF ST LUCIE
Ther Ing instr nt as acknowled before me
thi ay of 2 by
4 -RIS LANGEL CHRIS LANGEL
(Name of person acknowledging )n (Name of person ackne
I
,Personally Known x
Type of Identification
Commission
Revised 07
OR Produced Identification
EXPIRES: December 6, 2019
re of
ng)
of
Personally Known x OR Produced Identification
Type of Identification Produced
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS