HomeMy WebLinkAboutBuildilng Permit ApplicationPlanning and Development
Building and Code Regulatl
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
PERMIT APPLICATIO
Address: 6�
Legal Description: —
Property Tax ID #:
Site Plan Name: _kk
Project Name: I
Setbacks Front,
LIKE FOR LIKE A1C
11 Electric 2
Total Sq, Ft of Constructio
Cost of Construction: $ _
Name P: C1 t-14 P
City: ''�UCf S Q1
Zlp Code: �y S
Phone No. L S q— Z
E -Mali:
FIII in fee simple Title He
from the Owner listed a
of construction
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Division
rce FL 34982
t: (772) 462-1578
FOR: Mechanical
Commercial Residential X
IC)
IrtfA) 91 /V
Back: Right Side:
\NGEOUT �2-.5 fON
Left Side:
Lot No,
Block No.
16 -5,e,
�me un eft spermt — c M7appy
s Tank ❑Gas Piping ��_jj Shutters ❑ windows/Doors
unbing OSprinklers L Generator Roof Roof pitch
Sol. Ft,
FFt�t,,j of First Floor:
j 3 Q C) Utilities: l =l Sewer 0Septic Building Height:
GLV 4i
N e _ Name: CHRIS LANGEL
2f-45�12r . Company: SEACOAST A/C
State: [_L Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
l=ax:
7/ S Zip Code: 34946 Fax: 772-466-3063
Phone No. 772-466-2400
-r on next page ( if different E -Mail: INFO@SEACOASTAIR.COM
vF;)
State or County License: CMC036421
oo or more, a RECORDED Notice of Commencement is required.
SU"PLEMENTAL CONSTRUCTION LIENIAIN
INFORMATLON;
DESIGNER/ENGINEER: _NotApplicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
'City: State: _
Address:
Stater
_
City:
Zip; Phone:
Zip; Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
City:
Address:
Zip: Phone:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
ecount representationapplicable Homeowners thatis
St. Asssociationlrulelsabylaws or andpcovenants that maydrestrictborprohiblt such
n con lictwit a
which is In conffllct with any app yapply.
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may
the of this requested permit, I do hereby agree that I will, In all respects, perform the work
In consideration of granting
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,
signs, screen rooms and accessory uses to another non-residential use
accessory structures, swimming pools, fences, walls,
Commencement may result in your paying twice for
WARNING TO OWNER: Your failure to Record a Notice of
to property. A Notice of Commencement must be recorded and posted on the jobsite
improvements your
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.
s
Signature of Owner/Lessee/Contractor as A&nt for owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STIACIE
COUNTY 0 sr LuclE
The forgoing instrument was acknowledged before me The fo going instrument was acknowledged before me
this day of vN G AG/ 20
_L9by
this -02r day of Malz_h 20 aby
CHRIS LANGEL CHRIS LANGEL
(Name of person acknowledging)
(Name of person acknowledging)
( nature of Notary Publlc- State ofrF orida) J�Snature of Notary Public- State of Florida )
sonal ly Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pr
Type of Identification Prod _ --- y �u)aNwA
JUSTINALHOPK NS•CCNNELLY { p �gy9CONNELIy
No. FF941417 et; . i MY SSiONOFF941411 Commission No. FF9414 -' ±`' MYCpMiS(I$ jON#FFs41411
'�`',#
Commission s EX�pecember 6, 2019 IXf�IRES; December6, 2019
'..... fly" 9ondcdThN Notary RINI-1JM8MdtQM
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS