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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED k� Date: 12/21/17 Permit Number: 1 I '17 ©� I Building Permit Application DEC 2 12017 Planning and Development Services - Building and Code Regulation Division I'Ef;^a31 ITIIdC7 2300 Virginia Avenue, Fort Pierce FL 34982 5t. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ' Residential C PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT Address: 6513 EMERSON AVE Legal Description: Property Tax ID #: 1301-610-0072-000-5 Site Plan Name: Project Name: Setbacks Front Back: _ Right Side: Left Side: LIKE FOR LIKE HVAC CHANGEOUT WITH LIKE FOR LIKE DUCTWORK CHANGE 3 TON 16 SEER 5 KW DUCTWORK (DOCUMENTS ATTACHED) jaitionai worKto De errormea unaertnis permit —ci ZHVAC E] Gas Tank Gas Piping Electric ❑ Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 7412.00 an tn appry: Shutters Generator Sq. of First Floor: _ Utilities: L_I Sewer E]Septic Name CARRIER CARTER Address: 4974 SW 94th aVE City: COOPER CITY State: FL Zip Code: 33328 Fax: Phone No. NEW OWNER THOMAS SUTTON E-M a i I: 772-321-7501 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: CHRIS LANGEL Lot No._ Block No. ❑ Windows/Doors Roof Roof pitch Building Height: Company: SEACOAST A/C Address: 3108 INDUSTRIAL 31 st 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 $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable Name: Address: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: 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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. C2�s Signature of Owner/L ssee Contractor as Agent for Owner Signature of Contractor/License Ho der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The f oing ins ent was a .k ow edge fore me this day of 20 by Thefpr�oing in ment was acknowledge efore me thi day of 20 '�'-/�- by CIHRIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) UR M (Signature of Notary Public- State of Florida) +(Signature of Notary Public- State of Florida } Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. FF961459 (Sea[ Commission No. FF961459 (Seal) �A %IESEMAN LSE an SEMAN MY COMMISSION " rr"" J�0 .Revised 07/1 - EXPIRES February1620J-_W My COMMISSION # FF961459 •'. r,,,y�alloia"lSm EXPIRES February 16, 202 0 �aor,-A Wo REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO M P LETE INITIALS