HomeMy WebLinkAboutBuilding Permit ApplicationALL AP�713ILE Ifffyyy���O Mll E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (' M Permit Number:
Building Permit Application
Planning and Development �Services
Building and Code Regulotln Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 III -ax: (772) 462-1578 Commercial
PERMIT APPLICATIOk FOR; Mechanical
Address: D
Legal Description:
Property Tax ID #: I
Site Plan Name;
Project Name:
Setbacks Front_3ac:k: Right Side: Left Side:
LIKE FOR LIKE A/C C�IANGEOUTr�
ElElectric C
Total Sq. Ft of Construc
Cost of Construction: $
IE
City:
Zip Code:
Phone No. -Ma =
E -Mail:
Fill in fee simple Title Hol
from the Owner listed al
Ing I_JShutters
yrs F_1Generator
S Ft. of First Floor:
Utilities: Sewer Septic
Residential x
n
5K-cJ
Name: CHRIS LANGEL
Lot No.
Block No.
❑ Windows/Doors
Roof = Roof pitch
Building Height:
1 n Company: SEACOAST A/C
�— State: Address: 3108 INDUSTRIAL 31st STREET
ax:_ City: FT PIERCE State: FL
t� • "'f LQ p�-1— Zip Code: 34946 Fax; 772-466.3053
Phone No, 772-466.2400
on next page ( if different E -Mail: INFO@SEACOASTAIR.COM
;) State or County License: CMC035421
If value of construction is $2400 or more, a RECORDED Notice of Commencement is required.
]NEER: _ Not App
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
St. Lucie Count 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
rnmmencine work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
The rg nstru n w s c ow
ng iledg efore me
this 10day , 2 by
CHRIS LANGEL 1
(Name of person acknowledging )
Notary Public -State of
f ersonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
Ems! December 6, 2019
Bonded Thou Notary Public Undemnitem
S
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST Lucie
The rg mg instru t a+acnowledg ore me
this 1�ay of 20 by
CHRIS LANGEL
(Name of person acknowledging )
(SlAnature of Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No.
OR Produced Identification
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS