HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO Mll ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �/ i__
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulatl n Division
2300 Virginia Avenue, Fortlerce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: c� ' v �����S P' �%�(/ � vl T
Legal Description: -LA I LuGl f S �3 ��`S r � / 0'
Property Tax ID #: _ 3 fiJ `y - 60 G Lot No.
Site Plan Name: Block No.
Project Name: 0 d tv 610
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C C�IANGEOUTOf\l
Additional❑HVAC DYK TO pe�erslIas Tank ormea
unue' "]Gas Piping lc n Oil
Shutters
❑ Wlndows/Doors
Electric �Plumbing
OSprinklers
n
nGenerator
Roof Roof pitch
Total Sq. Ft of Construction: _
S Ft, of First Floor:
I
Cost of Construction: $
�' 0 d Utllitles:oSewer
Septic
Building Height:
Na
City: J L _ State: LL_
Code: q q 5 U Fax:
Phone No. 712—
E-Mall:
72—E-MaiI:_
Fill In fee simple Title Holder on next page ( if different
from the Owner listed a4ve)
Name: CHRIS LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL Mat STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3063
Phone No. 772-466-2400
E -Mail: INF 0@S EAC OASTA I R. CO M
State or County License: CMC036421
value of construction is $2100 or more, a RECORDED Notice of Commencement is
Ii^PLEMENTAL GONSTRU,CTION LIEN'LAIN INFORMATION
FRONT
COUNTER
ZONING
REVIEW
DESIGNER/ENGINEER:
_ Not Applicable
VEGETATION
REVIEW
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State: _
City:
State:
Zip: Phone:
Zip: Phone:
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. LucieCountyy makes no representation mans granting a PU nUL wm dULI �Ul ILC IA IC F,C, Ii It , µquos w ,...,i4 �, �...,,..,,�... -•. ----, �-
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
commencing work or recording our Notice of Commencement.
� YW� ?��
S
Signature of Owner/Lessee/Contractor zt�gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY OF ST LUCIE
STATE OF FLORIDA
COUNTY OF STLUCIE
The fo�r oing instrument wa acknowledge(�1 before me The forgoing instrument was acknowledged efore me
this --1— day of i �Qj� 20 I�by this a day of 20 by
CHRIS LANGEL 1 I CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
Known x
Type of
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
MYWSSi0N & FF 941411
EX December 6, 2019
9ondedThm Notary Pubro Uraemi ters
Notary
Personally Known x
Type of Identification
Commission No.
of Florida )
OR Produced Identification
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS