HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBE COMPLETED FOR APPLICATION TO BE ACCEPTED
ALL APPLICABLE INFO MJJST
Date; (' i � i
_ Permit Number; _
Y
Building Permit Application
planning and Development
Services
Building and Code Regulati
n Division
2300 Virginia Avenue, Fort
Phone; (772) 462-1553
plerce FL 34982
Fax: (772) 462-1578 Commercial ' Residential X _
PERMIT APPLICATIO
8 1
FOR; Mechanical
�1 1 5 S
Address: 51
Legal Description:
1
I
Property Tax ID ti:
/
Site Plan Name:
Project Name:
Block No,
Setbacks Front �__ Back: Right Side: Left Side:
i
Y I
I'I I
LIKE FOR LIKE A/C C�•1ANGEOUT "l f .��
"Additional"I)Meeme under tspermt—checka appy:
Piping ❑ Windows/Doors
_Shutters
HVAC Cas Tank []Sprinklers
Electric OPIlumbing [_(Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction; _ SFt, of First Floor;
� � � 6" Utilities;[]Sewer Septic Building Height:
Cost of Construction; $
9� t ,
Name �! • of ✓� Name: CHRIS (ANGEL
Address; 5_71Jr V Company: SEA COAST A/C
City; (- ' QFC (^ State: l^Zi Address: 3108 INDUSTRIAL 31st STREET
Zip Code; -) I -ax: City: FT PIERCE State: FL
Phone No, 5 C / —2 / 2 Zip Code: 34946 Fax; 772-466-3053
E -Mail: _ Phone No, 772-466-2400
Fill in fee simple Title Halder on next page (If different E -Mall: INFO@SEACOASTAIR.COM
from the Owner listed ab(ve) State or County License: CMC036421
li
If value of construction is $2400 or more, a RECORDED Notice of Commencement is required.
i
SLi^PLEMEI�TAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: `Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
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
structure, Pleasie consult with yoiur Home Owners Association Association rules,
deed focovenants
any restr that
ons which may applyhibit 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
rnmmanrina !A,nrk or recording vour Notice of Commencement.
�AL/y
Signature of Owner/Lessee/Contractor as Agent Tor Owner
STATE OF FLORIDA
COUNTY OF ST Lucie
t� YUL s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sT Lucie
The forgoing Instru rr��ge��Tt was acknowledged before me The forgoing instrumee waa5 acknowledged before me
this % day of 17a� , 20 LbY this I day of /' 1 1 20 � L_ by
CHRIS LANGEL -L CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
( nature of Notary Public' State of Florida )
nature of Notary Public- State of Florida
( y )
So
ersonally Known X
OR Produced Identification _
Personally Known X
OR Produced Identification _
Type of Identification Prod
_
Type of Identification Pr
Commission No. FFaatatr
�a JOS7INAL,RPPKINS•CONNELLY
'- MY�ISSIQN>; FF 941411
; e
Commission No, FF9414
C r
; !��,jr1NA �Ir'p�qySCONNRL!
:x• - + MrOgM�tS,AN FF 941411
+a EX December 6, 2019
-"J o,:,h��` aontled Thm Notary PubOn Unde*lors
COMPLETE
•u! . r RkWI
'�'� �' aai, ES December 6, 2019
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS