HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M6ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: . a -M Permit Number:
Planning and Development IServlces
Building and Code Regulation Division
2300 Virginla Avenue, Fort Iplerce FL 34982
phone: 1772)462-1553 :ax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
Address: 1 �Icf
Legal Description:
Property Tax ID H; / y
Site Plan Name:
Project Name: VJ
Setbacks Front -1,
LIKE
rontI_-
LIKE FOR LIKE AIC C
11 Electric U
Total Sq. Ft of Construct!(
Cost of Construction: $ _
Name
AfIdmgq: % 3q
City: Orr g!
Zip Code:
Phone No. 7 e� '
E -Mail:
Fill in fee simple Title F
from the Owner listed
Commercial ' _ .. Residential X
70 -COO --I
Back: Right Side: Left Side:
EOUT
S-f0N
Utilities:
J Shutters
d Generator
of First Floo
Sewer ❑'
Lot No,
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
fad % Name: CHRIS LANGEL
Company: SEA COAST A/C
State; /'G' Address: 3108 INDUSTRIAL 31st STREET
ax: City; FT PIERCE State: FL
> q(� 7 Zip Code: 34946 Fax; 772-466-3063
Phone No. 772.466-2400
on next page ( if different E -Mail: INFO@SEACOASTAIR.COM
I State or County License: CMC036421
If value of construction is $2100 or more, a RECORDED Notice of Commencement is required.
ENGINEER:
—Not Applicable
MORTGAGE COMPANY: _Not Applicable
SUPERVISOR
REVIEW
REVIEW
Name;
REVIETURTW
MANGROVE
REVIEW
Address:
State:
'City: State:
Phone:
FZs
_
Zip; Phone:
E TITLE HOLDER:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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. Pleaseet consult with your Home Owners Association landrreviewyyour deed for any restrictions which maor
applly. bit 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.... ,a,nrL, nr rArnrrllna grim Nntice of Commencement.
Signature of Owner/Lessee/Contractor as Agenl for Owner
STATE OF FLORIDA
CO U NTY OF ST Lucie
The Voing instrum nt was acknowledged before me
this_G day of� 20 fIby
CHRIS LANGEL-I`
(Name of person acknowledging )
( nature of Notary Public- State of Florida )
ersornally Known x OR Produced Identification
Type of Identification Prod NSGON�
JUSTINALHOPKINSCONNELLY
n
Commission No. FFsata:: k;1.
pxybrFfi-°.'!o l ember6h20f119
Revised 07/15/2014
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLucIE
The forgoing instrum was acknowledged before me
this'e—dayol 20 Aby
CHRIS LANGEL
(Name of person acknowledging
Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Pr"WAL
Commission No.
REVIEWS
FRONT
COUNTER
COU
REVIEW
SUPERVISOR
REVIEW
REVIEW
VEGETATION
REVIEW
REVIETURTW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS