HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/12/2020 Permit N u m b e r: r
MAR 12 2020
Building Permit Application Permitting Departme it
Planning and Development Services
Building and Code Regulation Division St. LLicie County, Fl.
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax-, (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address- 7847 sable lake dr
Legal Description:
3321-501-0047-000-4
Property Tax ID Lot No.
Site Plan Name: Block No.
Project Name: norman Staub
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT DUCT WORK
see attached paper work
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40 u p
�✓ HVAC �_Gas Tank Gas Piping Shutters � �Windows/Doors `•
0 Electric Plumbing ]Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 0, Utilities: Sewer Septic Building Height:
norman staub CHRIS LANGELN me Name:
Address: 7847 sabal lake dr Company: SEA COAST A/C
City: fort pierce -State: fl Address, 3108 INDUSTRIAL 31st STREET
Zip Code: 34986 Fax: City: FT PIERCE State:FL
Phone No.973-919-1986 Zip Code: 34946 Fax: 772-448-4416
E-Mail: 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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5l7PPL N7'A.L�.,0gN TIRU1_CT�oN lf11 11 �N�FORMA IDf� ; �x �>v '
DESIGNER/ENGINEER: Not ApplicableMORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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. I
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, s
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 'ntend to obtain financing, consult with lender or an attorney fore
commencingw rk or recoAWVour Notice of Commencement.
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Signature w er/Lessee/Contractor as Agent for Owner Signature bf ntractor/Licen4e Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE z
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The forgoing instrument was acknowledg �efore me The forgoing instrument was acknowledged before me
this 12 day of march20 y this 'I 2 day of marCh 20�by
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CHRIS LANGEL 1 CHRIS LANGEL 1
(Name of person acknowledging) (Name of person acknowledging)
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ignature of Notary Public-State of Florida) (S' ature of Nota Public-State of Florida) j
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. G 940 JUSTI�MINOPKINSCONNELLY Commission No. GG940 JUSTINA ,HO (DC3(
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*E ;* MY COMMlSSlON GG 840562 .,i�'''Q�fi #
*; ;�; MY COMMISSIO
Bonded Thru Notary Public underwriters '.,,:o .roe seeRevised 07/15/2014 1, BndadThrallotary
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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COMPLETE
INITIALS
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