HomeMy WebLinkAboutBuilding Permit ApplicationI�
ALL APPLICABLE INF M II
ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
_ Date: Zj —T( 11 Cdl
—� Permit Number: _
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Building Permit Application
Planning and Development
Services
Building and Code Reguloti
n Division
2300 Virginia Avenue, FortIplerce
Phone: (772) 462-1553 IPax:
FL 34982
(772) 462-1578 Commercial ' Residential X _
PERMITAPPLICATIO
FOR: Mechanical
�I
Address: Zy� � �G
Nr1C? G�Qek Ln� .
Legal Description:
1
I
Property Tax ID #: L U y s 00 ( �� �` Lot No.
Site Plan Name: I_ Block No.
Project Name:
Setbacks Front I__ Back: Rlght Side: Left Side:
AdZditions wortto ee ej 'orme under tspermit-c ec<a appy:
FIGas ❑ Wlndows/Doors
HVAC LJ bias Tank Piping _ Shutters
Electric Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction;„„__ S�Ftj, of First Floor:
9,00 sewer Septic Building Height:
Cost of Construction: $ _IlJ® ' Utilities: LJ
i
Name Cl r Us N ,BCU S Name: CHRIS LANGEL
_
Address: ' I W e 6, re V— 4 I " Company: SEACOAST A/C
City: F 'o-ccC State; /—'I- Address: 3108 INDUSTRIAL 31st STREET
Zip Code: City: FT PIERCE State: FL
l'
Phone No. 7 % Z 3 S % Zip Code: 34946 Fax; 772-466-3053
E -Mail: _ Phone No. 772-466-2400
INFO SEACOASTAIR.COM
Fill in fee simple Title Holder on next page ( If different E -Mall: @
from the Owner listed above) State or County License: CMC036421
If value of construction is $21100 or more, a RECORDED Notice of Commencement is required.
I
Sli"PLEMENTAL•CONSTRUCTION LIEN'LAUV.INFORMAT(ON;
FRONT
COUNTER
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: ^ Not Applicable
Name:
Address:Address:
VEGETATION
REVIEW
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
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, sigris, 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
commeenncen
ciin work ins=
recordin our Notice of Commencement.
�
S� s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sT1ucIE
Theforggoing instrument was acknowledge j before me
this Z`f day of %X0 Af 20 1 qby
CHRIS LANGEL'I-
(Name of person acknowledging )
2( nature of Notary Public- State of Florida ) / )
ersy
onally Known X OR Produced Identification
Type of Identific�FF941411
n Prod —
di eY" duSTINA I.IiOPKINS-CONNELLI
� = �SSiONBFF941411
Commission No," My�'
,' Fx Oecem6er &. 2019
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF STwcIE
The forgoing instrumept� as acknowledged before me
this .7N day of ���/��t�-, 20 11 by
CHRIS LANGEL
Name of person acknowledging )
of Notary Public- State
Personally Known X OR Produced Identification
Type of Identification Prod .�
Commission No.
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS