HomeMy WebLinkAboutBuilding permit app�S�ULaPI.FIy1�NTgl �0�`N�TRli�i'ION LIEN I�A51�t! IN'FQRMA�•ION�
DESIGNER/ENGINEER; a _Not Applicable
Name:
� J � _ .� ��;,��s ,`.j
MORTGAGE COMPANY: _•Not Applicable
Name:
Address:
Address:
City:
Zip:
Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not
Name:
Applicable
BONDING
Name:
COMPANY:
Not Applicable
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 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.
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
I
mprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first )nspection. K yoiOntend to obtain financing, consult with lender or an attorney_Jb�fore
11
STATE OF FLORIDA
COUNTY OF sTLucle
The forgoing instrument was acknowledg�}�efore me
this 28 day of apt. 20L�iby
STATE OF FLORIDA
COUNTY OF snuae
The
forgoing
instrument
was acknowledged before me
this
z$dayof
sept.
zo�by
CHRIS LANG[L 1 GHRIS LANGEL
(Name of person acknowledging) (Name of person aclmowledging)
re
of Florida )
Personally Known x OR Produced Identification Personally Known x
Type of IdantlFication Produced Type of identification
commission No.
19
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ccunos ;'yb'#•. JUSTI(
I,IOPKINSCONNELi.11 Y Commission No.
MYCOMMISSION ayG094a5S2
'•'••P,f;ftR``'' BondedThru Notuy Public Ondelwdlars
Revised 07/15/2014
-State of Florida )
Oft Produced Identification
Iced r�
JUSTINA ,HOPKINSCI
MY COMMISSION U GG
"--EAPIR : ecem er
9.F°4t` Bonded Thm Notary Publa U
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/28/2020 Permit Number:
d
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, fort Pierre FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR Mechanical
Address: 6016 SPRUCE DR
Legal Description:
Property Tax ID #: 3402-610-0437-000-8 AILot No.
Site Plan Name: Block No.
kart ellmers
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT DUCT WORK ONLY
SEE ATTACHED PAPER WORK
fry 100000
'egg�
CQiN$1ttU�T10(�NFORMTiIOj�r s
ACICI Itional work to Mr ormed un er ifhsp mit—clec<a apply;
ZHVAC Gas Tank ❑Gas Piping Shutters (((J�� Windows/Doors
((
Electric Plumbing ❑Sprinklers Generator Roof Roofpltch
Total Sq. Ft of Construction: S Ft, of First Floor:
Cost of Construction: $ 6000.00 Utilltles:'n SewerSeptic Building Height:
ONR�IESE. t Cf�NTR$lTRu
y __ z
Name kart ellmers Name: CHRIS LANGEL
Address: 6016 SPRUCE DR Company: SEACOAST A/C
city: fort pierce State: FL Address: 3108 INDUSTRIAL 31 st STREET
Zip Code: 34982 Fax: City: FT PIERCE State: FL
Phone No, 772-260-7692 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-Mall: 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,