HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /31 /2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginla Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 5763 Sunberry Circle
Legal Description:
Property Tax ID #: 1312-502-0197-000-9 Lot No. —
Site Plan Name: Kathleen M. Grossman Blocl<No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE A/C CHANGEOLIT 14 Seer, 3 Ton, 10KW
Additional wor to e ero'rmed underthispermit—ciecta apply:
IZHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SQ4 Ft. of First Floor:
Cost of Construction: $ 5887.00 Utilities: 0Sewer L1 Septic Building Height:
Name Kathleen M. Grossman Name: CHRIS LANGEL
Address: 5763 Sunberry Circle Company: SEACOASTA/C
City: Ft Pierce State: FL Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 34A51 Fax: City: FT PIERCE State: FL
Phone No. 772-409-4892 Zip Code: 34946 Fax: 772-448-4416
&Mall: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page ( if different E-Mail: INFO@SEACOASTAIR,COM
from the Owner listed above) State or County License: CMC035421
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
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DESIGNER/ENGINEER: _ Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip:
Phone:
State:
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 Countyy makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assocation rules, bylaws or and covenants that may restrict or prohl bit 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, 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++nspection. {yo yyntend to obtain financing, consult with lender or an attorney before
commencing w6rk or recordt7)our Notice of Commencement, i% Z, � /
STATE OF FLORIDA
COUNTY 0 F sr mcie
STATE OF FLORIDA
CO U NTY O F sr wcie
The forgoing instrument was acknowledgeed� b�efore me The forgoing instrument was acknowledged before me
this31 day of January zo(by tnisdaynf, January ,20ehy
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
of Florida )
Personally Known x OR Produced Identification Personally Known x
Type of Identification Produced Type of Identification
Commission No. GGsaoe,•s ' b'•".," JUSTIWaIMOPKINSCONNELLY Commission No.
i"i Y ': MYCOMMISSlONNGG840682
IN �`` ESIMmmhac.17,202
Revised 07/15/2014
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OR Produced Identification
Ns71NF 6 HOPKINS CONNELLY
MY COMMISSION tE GO 84D5S2
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SEA TURTLE
MANGROVE
COUNTER
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