HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIJ1JSV BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �__ Permit Number:
Building Permit Application
Planning and DevelopmentlServices
Building and Code Regulati n Division
2300 Virginia Avenue, Fort I('lerce FL 34982
Phone: (772) 462-1553 rax: (772) 462-1578 Commercial ' Residential X
PERMIT APPLICATION FOR: Mechanical
e, I
Address: J CUC7 SI aN S1t
Legal Description:
Property Tax ID #: I P
Site Plan Name:
Project Name: I
Setbacks Front j__
LIKE FOR LIKE A/C Cl�
00"� V 'Oc'1'
elr�C�
Back: Right Side: Left Side:
IGEOUT
L� MVAC U Silas Tank
Electric plumbing
Total Sq. Ft of Construction: _
L
Cost of Construction: $
permit — cnecKau inai. apply:
]Gas Piping _Shutters
]Sprinklers n Generator
_
Sq. Ft, of First Floor: —
Utilities: IlSewer ElSeptic
Lot No.
Block No.
Windows/Doors
ElRoof = Roof pitch
Building Height:
Name /f'1�7��`�'>D Name:
CHRIS LANGEL
Address: ���_Ce_
S [/PC Company: SEACOAST A/C
_ State:/=L Address: 3108 INDUSTRIAL 31stSTREET
City: �r
ZIP Code: P/ax: City: FT PIERCE State: FL
144 9 i
Phone No
34946 772-466-3053
! ' Zlp Code: Fax:
E-MaiL�r G.�aS/-pPhone No. 772-466.2400
Fill in fee simple Title Holder on next page ( if different E -Mail: INFO@SEACOASTAIR.COM
from the Owner listed ab�Ve) State or County License: CMC036421
If value of construction is $29.00 or more, a RECORDED Notice of Commencement is required.
"> f�ME�1TA�CONSTRUCTlO'�N LI�N'CA1�il! 11��0"�j,
MATT�N�r ��'
� �'�
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
DESIGNER�ENGINEER:
_Not Applicable
MORTGAGECOMPANY:
Not Applicable
Name;
Name:
Address:
COMPLETE
Address:
City:
State: _
'City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
INITIALS
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
which is in coniict 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
commencine work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor went for Owner
STATE OF FLORIDA
CO U NTY 0 FST WCIE
The forgoing instrument was acknowledged before me
this / -7 day of P6 C . 20 Lfby
?�, s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sTLucie
The forgoing instrument was acknowledged before me
this /Zdayof ReG . 20 /'by
CHRIS LANGEL }- CHRIS LANGEL
(Name of person acknowledging) I (Name of person acknowledging
of
Mersonally Known x OR Produced Identification
Type of Identification Prod
Commission No. FF941411
Revised 07/15/2014
EXMM!December 6,2019
BondedThm Nulary Public UrdewdI0M
of Notary Public- State of Florida)
Personally Known x
Type of Identification
Commission No, FF941
OR Produced Identification
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS