HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MlI1SY BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 J �__ Permit Number:
Building Permit Application
Planning and Development Services
8ullding and code Regulati n Pivlslon
2300 Virginia Avenue, Fort plerce FL 34982
Phone: (772) 462-1553 1 -ax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: Q"
Legal Description:
es
Property Tax ID #: 3� I 8G W411 —0 G
Site Plan Name:
Ic,
Project Name: � N N �' N9 Q r
Setbacks Front i^_ Back: RlghtSide:
OR LIKE A/C C•iANGEOUTN
LIKE F { TQ/& -S
t onal work to bjeeIormea u
OHVAC l—JGas Tank
Electric LJPlumbing
Total Sq. Ft of Construction;
Cost of Construction: $
Na
5 -
City:
City: '>
Zip Code:
Phone No. 7 7 0
E -Mail:
Fill in fee simple Title He
from the Owner listed a
lo�L'J
Left Side:
Lot No.
Block No,
]errntt—cue�n an aNl"Y-
Sas Piping _Shutters ❑ Windows/Doors
Sprinklers Generator 11 Roof = Roof pitch
Sq, Ft, of First Floor: _
Utilities:Sewer D Septic
Building Height:
i�; _.�� %— _ Name: CHRIS LANGEL
Nq F10/51 �q eS% Company: SEACOAST AIC
State: Address: 3108 INDUSTRIAL 31st STREET
ax: /l City: FT PIERCE State: FL
7,5�s7 7 Zip Code: 34946 Fax: 772-466-3053
Phone No, 772.466-2400
on next page ( if different E -Mall: INFO@SEACOASTAIR.COM
State or County License: CMC036421
If value of construction is $2 00 or more, a RECORDED Notice of Commencement is required,
SU "PLEMENTAL CONST UU.CTItIN LIEN LAIN iN'FORMATION;
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: ^Not Applicable
Name:
Name:
Address:
Address:
State:
'City: State:
City: _
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. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure, Pleasle consult with yolur Hlome Owners Association Association rules,
your deed for any restrictions which maor
alprohibit 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
commencing work or recording our Notice of Commencement.
Lie. ,(� s
Signature of Owner/Lessee/Contractor went for OwnerSignature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY 0 F ST Lucie
The forgoing instruJ�g�t wts acknowledged before me
this J� day of Itw1 , 20 Aby
STATE OF FLORIDA
COUNTY OF sTLucIE
The forgoing instru% nont was acknowledged before me
this—day of l>1 f I 201 hY
CHRIS LANGEL CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging) ^
re
Versonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
EXhM! December 6, 2010
a0ndsd Thar! Notary Pu1,110 umlenadters
of 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