HomeMy WebLinkAboutBulding PermitALL APPL BLE INFO COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: — Permit Number:
Building Permit Application
Planning and Development IServices
Building and Code Regulati n Division
2300 Virginia Avenue, Fort P fierce FL 34982
Phone: (772) 462-1553 II'ax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR; Mechanical
Address: _ L Y_
Legal Description:
Property Tax ID #: L
Site Plan Name:
Project Name:
Setbacks Front__ Back: Right Side:
Left Side:
Residential X
LIKE FOR LIKE A/C C�IANGEOUT
IiiAone1�,
LJHVAC LJ Gas Tank
Electric 0 Pllumbing
Total Sq. Ft of Construction:
Cost of Construction: $ __
Name V
Addre
City:
Zip Code:
Phone No.
E -Mail:
Fill in fee simple Title H
from the Owner listed
nt—W]ULK 011 -FIJ�Y.
Piping _Shutters
nklers 11 Generator
_
Sq.
of First Floor: _
Utilities:05ewer Septic
me: CHRIS LANGEL
mnanv- SEACOAST A/C
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
State: Address: 3108 INDUSTRIAL 31st STREET
Fax: City: FT PIERCE State:FL
— 9 (-)1 Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
on next page ( If different E -Mail: INFO@SEACOASTAIR.COM
el State or County License: OMC036421
If value of construction is $2400 or more, a RECORDED Notice of Commencement is required.
EN
Name
City: State
Zip; Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City: _
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
structure, Pleasle c consult w thpyolurHome Owners Association andrrev w your deed for any restrthat
ct ons which may aprohibit 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: 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
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee=/Contr—actor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY OF ST LUCIE
The or Ing instru) wn s ck owledge fore me
thisday 20 by
CHRIS LANGEL 1
(Name of person acknowledging )
ry Public- State of Florida
Known x
Type of Identification Prc
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
EXhM! December 6, 2019
Bonded Thor Notary Public Undenvdlera
STATE OF FLORIDA
COUNTY OF ST LUGIE
The f going instru ent s acknowledgeore me
this By o 20 by
CHRIS LANGEL
(Name of person acknowledging )
of Notary
Personally Known x
Type of Identification
Commission No.
State of Florida
OR Produced Identification
December 6, 2019
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