HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
'Date:
7113/17 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 824 $AND1A AVENUE
Legal Description:
Property Tax lD #: 3419-550-0053-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: __ Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
DUCT WORK ONLY (DUCT LAYOUT ATTACHED)
Lot No.
Block No.
Windows/Doors
Roof
Total Sq. Ft of Construction: S�Ft-j of First Floor:
Cost of Construction: $ 2535,00 Utilities: I _I Sewer LJSeptic Building Height:
Name JOSE HERANDEZ
Address: 824 SANDIA AVE
City: PORT ST LUCIE -- State: FL
Zip Code: 84983 Fax:
Phone No. 77-2.812-3032
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
1�I-�1;.1.R..�. ,`ynat5�w,.1v�W�) �i•iu�(�
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35.
Name: CHRI$ LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
E-Mail; DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
if value of construction is $2s00 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: — Not Applicable
Name:
Address:
City: State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: �, Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _—
Zip: Phone;
SANDING COMPANY: Not Applicable
Name;
Address -
City:
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
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 reviewyour 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 concurrence 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
enmiriencing work or recording vour Notice of Commencement.
:ure of owner/Lessee/Contractor as
STATE OF FLORIDA
COUNTY OF STLUCIE
That. oing instr m n wa acknowledge efore me
this day o 20 Lby
STATE OF FLORIDA
COUNTY OF $TLUCIE
The ftopioing inst , merAwasacknowled before me
this _.D day of 2017(� by
OHRIS LANGEL CHRIS LANGBL _
(Name of person acknowledging) (Name of person acknowledging)
of Notary public- State of Florida) +� ignature of Notary Public- Slate
Personally Known x ,OR sT I�.59s� e onally Known x OR
Type of identification Produ a __1 IMU!, MMi3 16.2 y of Identification Pro
���;P1R3 l�.c�
Commission No. FF96�a69 'R _ (seal) it�D`P commission No_ FFae1asa
Revised 07/15/2014
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
/
COMPLETE
INITIALS
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