HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 03/07/2019 Permit Number: 0�� •�f
SCANNED
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: 5512 DEER RUN DRIVE
Legal Description:
I
Property Tax ID #. 1313-502-0061-000-0 Lot No.
Site Plan Name: Block No.
Project Name: JIM AND JANICE SULLIVAN
Setbacks Front Back: Right Side; Left Side:
I
LIKE FOR LIKE A/C CHANGEOUT WITH LIKE FOR LIKE DUCT WORK
4 TON, 16 SEER, 10 KW
,
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Additional work to be nprtormed under this permit — Che.ck all that apply:
❑✓ HVAC Gas Tank 0Gas PipinghtterWindows/Doors
Electric 0 Plumbing Sprinklers — Generator El Roof Roof pitch
Total Sq. Ft of Construction: S�Ftj. of First Floor:
Cost of Construction: $ 6450.00 Utilities: L__ISewer Septic Building Height:
/i0 aiia� iai i iii i/ /0
Name: CHRIS LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL 31st STREET
Name JIM AND JANICE SULLIVAN
Address: 5512 DEER PARK DRIVE
City: FT PIERCE State: F�
Zip Code: 34951 Fax:
City: FT PIERCE State: FL
Phone No. 772-464-7874
Zip Code: 34946 Fax 772-466-3053
E-Mail:
Phone No. 772-466-2400
Fill in fee simple Title Holder on next page ( if different
E-Mail: DANISEACOASTAIR@AOL.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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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
commeneinR work or
of Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
ine vour Notice of Commencement
as Agent
The r oin ins wled a efore me
g act g
this day of 20 by
CHRIS LANGEL 1
in( me of person acknowle�gir�g) n /
. I r n � I
ature of Notary Pulilic-State of Florida
P&Aonally Known x OR Produced Identification
Type of Identification Produced
Commission No. I Fsa � JUSTINAL. PKI &CONNELLY
MY COMM� FF 941411
Mi' EXPIRES: December 6, 2019
Revised 07/15/2014
cense Ho
'STATE OF FLORIDA
� COUNTY OF STLUCIE
The oing ins t wledge fore me
this day of 20 by
CHRIS LANGEL
(Name of
ure of NotaryPublic- State of Florida )
Personally Known x OR Produced Identification
Type of Identifica oaw�r c
�g;•,, tOAttIBPfHtdSCONN
MY COMMISSION F 94 411
Commission No. a= EXPIRES,-DeceRB?D19
Bonded Thru Notary Public Underwriters
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