HomeMy WebLinkAboutBuilding Permit ApplicationBE COMPLETED FOR APPLICATION TO BE ACCEPTED
ALL APPL)I1CABLE INFOOMlI1ST
Date: I,ri, r 7 t o
Permit Number: _
Building Permit Application
Planning and Development
Services
Building and Code Regulati
n Division
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
lerce FL 34982
Fax: (772) 462-1578 Commercial Residential X _
PERMIT APPLICATION
FOR: Mechanical
Address:
Legal Description: SUIgll�`U;S."C7N
/ /� t� 7 /
6 ( IUL,rIrev �u/MS l o- ! ,gAj
A) -7 6, a A71
G r G o F r 06 .aa 97 77-/;G
Property Tax IDNW.73 11 G00 Z— —6) Cc 11� Lot No.
Site Plan Name: �_ Block No.
Project Name: I�O
Setbacks Front I__ Back: Right Side: Left Side:
Muni
LIKE FOR LIKE A/C C�-iANGEOUT �U/� e e� TCS cJ t/✓
I I"f�j�
itiona wor<tome underthis permit—c ec a appy:
Gas ❑ Windows/Doors
HVAC Tank Piping _Shutters
[]Elect ric Plumbing L_ISprinklers Generator Roof u Roof pitch
[]Sprinklers
Total Sq. Ft of Construction: _ S Ft. of First Floor:
5a O a Utilities: �SewerSeptic Building Height:
Cast of Construction: $ Ld
I
l
Name Qu r.� W . S 0 Name: CHRIS LANGEL
Address: a7�C/ s. Company: SEA COAST A/C
City:I-C4_ State: `L Address: 3108 INDUSTRIAL 31stSTREET
Zlp Code: �y94%s Fax:_ City; FT PIERCE State: FL
�y '0 " Zip Code: 34946 Fax: 772-466.3053
Phone No.3pp5a
E-Mail: 1-/V t0 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 $2$00 or more, a RECORDED Notice of Commencement is required.
i
`aUPPLEMENTALC0N5TRUCTION LIEN LAW IN`FO��UTAT�ONwY
FRONT
COUNTER
- Y � �� ,
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
:,
MANGROVE
REVIEW
DESIGNER/ENGINEER:
_Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State: _
City:
State:
Zip; Phone:
Zip: Phone:
INITIALS
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. LucieCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con
iict 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
commencing work or recording our Notice of Commencement.
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s
Signature of Owner/Lessee/Contractor as�gent for Owner Signature of Contractor/License Halder
STATE OF FLORIDA
COUNTY OF ST Lucie
The forgoing instru�1e�nt was acknowledged before me
this day of /VO ✓ 20 Eby
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged be ore me
this � day of Noy, 20 � by
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
Notary Public- State of Florida) /I I (SJgnature of Notary Public- State
Personally Known x OR Produced Identification `J Personally Known x OR Produced Identification
Type of Identification Prod _ ._... Type of Identification
..,mm.,. ..._........,...,ma,.nnuucnv I Ir ".d lei FYI IItN
FF941411 a; i.g MY 3=NNtt'J41411 Commission No. FE9414 V. iez inA`IPev.uryn4ll
Commission No. _ `- Ex , December 6,2019 ;u,. _,,� My COMItl ui0N#FF941411
Th
°tf'o'1 nbh, Bendcdry Notary Public Wervmlers ��„�r9•.G''` p�#�ipEs�,�ecember 6, 2019
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS