HomeMy WebLinkAboutBuilding Permit ApplicationALL AA
ALL NFO Mt'Slr BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number;
Date;
------ — Building permit Application
Planning and Development Services
Building and Code Regulatlpn Division
2300 Virginia Avenue, Fort lerce Fl. 34982
Phone: (772) 46 -1 1 -ax: (772) 462.1578
PERMIT APPLICATION FOR: Mechanical
Legal Description: I -L-
r 34 vf, -.Is
r3asti,a5j.
Property Tax ID d: 5
Site Plan Name: OSet�l1 �}
Project Name: —
Setbacks Front__- Back:
LIKE FOR LIKE A/C
LjElectric L
Total Sq. Ft of Constru(
Cost of Construction: $
Name , 00
city; NoHv-'�1e--
Zip Code; Hyl
Phone No, a H $
E-Mall:_____—
FIII in fee simple Title Hof
from the owner listed al
If value of constructlon Is $;
Commercial ' Residential X _
/u .IS Stf CVV,S -'ON
-0012 -000 '
GEOUT to
as Tank
lumbing
3Ib-VC)
Right Side: Left Side:
-a� l0r T
arum — W Jul" u11 err r
as Piping _Shutters
prinklers E—Generator
_
Sq, Ft, of First Floor, _
Utilities:OSeweY Septic
Lot No,
Block No.
Windows/Doors
0- Roof = Roof pitch
Building Height:
q Name: CHRIS LANGEL
o kl4 N� Company: SEACOAST A/C
State; MT Address: 3108 INDUSTRIAL 31 at STREET
City: FT PIERCE State; FL
ax, �� ZI Code; 34946 Fax; 772"466-30 53
J p
Phone No. 772-466-2400
on next page ( if different E -Mail; INFO@SEACOASTAIR,COM
State or County License: CM0036421
or more, a RECORDED Notice of Commencement is required,
SUPPLtMENTAL"CONSTRUCTI0NLIEN'LAW INF'®RMgTI,ON:":.
FRONT
COUNTER
ZONING
REVIEW
DESIGNERENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in conTllet 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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as X&nt for Owner
STATE OF FLORIDA
COUNTY OF srwae
� // v�_ . s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF srwae
The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
thisday of 3Q�, 20 Lq by this ol" day of Sc'/J- 20 Lt by
CHRIS LANGEL 1- CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
Pers
nature of Notary Put
onally Known X
Type of Identification Pre
Commission No. _F1'941411
Revised 07/15/2014
OR Produced Identification
December 0, 2019
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