HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLEEIINFO Ml11SV BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T— Permit Number:
?a
Building Permit Application
Planning and Development) Services
Building and Code Regulatlbbn Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial ' Residential x
PERMIT APPLICATION FOR: Mechanical
Address:,
Legal Description:
Property Tax ID tt: 1L/V/ �' >� Lot No.
Site Plan Name; �_ C Block No.
Project Name:
Setbacks Front I__ Back; RlghtSide; Left Side;
LIKE FOR LIKE A/C C�•1ANGEOUT
J <-J
77,—on wor<to e eI"�ormed undertruspermic— cnecicas apply. j�
HVAC � ICas Tank n❑Gas Piping _ Shutters o Windows/Doors
Electric PlIlumbing ❑sprinklers Generator Roof Roof pitch
Total Sq, Ft of Constructio6: _ S Ft' of First Floor:
Cost of Construction; $ Q 0 O Utilities;oSewer Septic Building Height;
Name Q q,WIC-,
Address: -7 y SO S
City: 11�-6f 4 / i QF
Zip Code:
Phone No.
E-Mail:—
Fill
-Maii;FIII in fee simple Title I
from the Owner listed
r
q7—
F -'- `?o
State; Lli
on next page ( If different
Name. CHRIS LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State; FL
Zip Code: 34946 Fax; 772-466-3063
Phone No. 772-466-2400
P-nnatl• INFO@SEACOASTAIR,COM
State or County License: CMC036421
value of construction is $2400 or more, a RECORDED Notice of Commencement is
SG^PLEMENT 1CONSTRUCTIQN LIEN -LAW INFORMATION;
FRONT
COUNTER
DESIGNER/ENGINEER: Not Applicable
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! nstallation 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
structure. Please consult with yolur Home Owners Association Association rules,
your deed for any restrictions whichtmay aprohibit 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
.i, rli nr rPrnrriina vnur Notice of Commencement.
Signature of Owner/Lessee/Contractor as gent for Owner
STATE OF FLORIDA
COUNTY O F sT Lucie
The forgoing instrument was acknowledged before me
this :21 day of I)') Ct(dA 20 Lby
CHRIS LANGEL =-
(Name of person acknowledging )
2( nature of Notary P6bllc-State of Florida) 2snature
Known x OR Produced Identification _
Type of Identification Prod _�
4USTINAL NOPH NS•CONNELLY
Commission No. FF941411 14 .*s MYY�6SIQNNFF941411
r EX Decemb%6, 2010
'le 4•x bi> annnod Thm NoUry Milo Undem'dlers
Revised 07/15/2014
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru nt was acknowledged efore me
this 2i bday of � 20 j by
CHRIS LANGEL
(Name of person acknowledging )
(SAnature of Notary Public -State of Florida )
Personally Known x
Type of Identification
Commission No.
OR Produced Identification
December 6, 2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS