HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO M i ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: II' 7l l i_— Permit Number: _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort I(' lerce FL 34982
Phone: (772) 462-1553 IFax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: �?-00 117
Legal Description: �� �0 � Sru / v 1 V 5/ N
1d1Dy N le405-� acv 601M � eMe �l �l/- --;L q rz
Property Tax IDN: y 3 ^ 01 3 y —0Ot Lot No.
Site Plan Name: — Block No.
Project Name:
Setbacks Front_Back: Right Side: Left Side:
LIKE FOR LIKE A/C CiIANGEOUT Vt S eQ (_ 4-0 /V
Additionalworkto jeoe orme under tispermt—c ec a appy:
HVAC L 1 ,as Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric dumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:_ S�Ftj of First Floor:
Cost of Construction: $ �� 5. OO Utilities: C_J Sewer Septic Building Height:
Name G/4 La •P _ Name: CHRIS LANGEL
woi Company: SEACOAST A/C
Address: k& CoN Q r _ P Y�
City:State: Nib Address: 3108 INDUSTRIAL 31stSTREET
Zip Code: y�] l=ax: City; FT PIERCE State: FL
Phone No. %-7 5 — 7 CI 3-3 d 7 Zip Code: 34946 Fax: 772-466-3053
E -Mail: SN S a;GoaS�C.`/�• 4070 Phone No, 772.466-2400
P
Fill in fee simple Title HoldINFOSEACOASTAIR.COMer on next page (if different E -Mail: �°
from the Owner listed abFve) State or County License: CMC036421
If value of construction is $200 or more, a RECORDED Notice of Commencement is required.
i
Name:
Address
City: _
Zip:
ne:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:
Not Applicable
_ State: _
Not Applicable
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St. Lucie County makes no representation mans gianung a Pcill—wul a,,,��.. N..•••••- ���,-�• -- --••_ -.._ ___,__. _ i
structure. Please Pleasiecconsult withyolur applicable
omeOwnners Association Association
drreview your deed for any restrictions which maor
apply Ibit 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
commencin work or recording our Notice of Commencement.
?�� s
Signature of Owner/Lessee/Contractor as Agent Tor Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST Lucie
The forgoing instrument was acknowledged before me
this 7 day of /)/Q a 20 JAY
CHRIS LANGEL 1
(Name of person acknowledging j
2( nature of Notary Public- state or hlorloa )
ersonally Known x OR Produced Identification
Type of Identification Prod
Commission No. FF941411
Revised 07/15/2014
Myff3 )NkFF941411
EX December% 2019
pondedThm NoloryPublio Uodemdlem
STATE OF FLORIDA
COUNTY OF sTLucle
The forgoing instrum�jnt was/ acknowledged bef re me
this �day of �l M ,zo Eby
CHRIS LANGEL
(Name of person acknowledging )
of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Primed .
Commission No.
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS