HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE
\
ICABLE INFO M
Date: 3\V� x1b
i
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
PermitNumber:��d3'dSal
i N409 RECEIVED
Building Permit Applicati n MAR 19 2018
Planning and Development Services
Building and Code Regulation Division ST. Luele 6edt1trf Perthitt1'Iq
2300 Virginia Avenue, Fort yFierce FL 34982
Phone: (772) 462-1553 'Fax: (772) 462-1578 Cl ommerCiai Residential X _
PERMIT APPLICATION FOR:
N Mechanical
Address: OCU 1
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:_
Setbacks Front
Back: Right Side: Left Side:
LIKE FOR LIKE' axC� V'XXL C n�i
f - ,J 1
ZHVAC
Electric 0 PSI,
I
Total Sq. Ft of Construction"
Cost of Construction: $ �(
I
S
Utilities:
LJ Shutters
_1 Generator
Ft. of First Floor: _
Sewer 11
Septic
Lot No.
Block No.
QWindows/Doors
Roof Roof pitch
Building Height:
Name V I
Address: _
Name: CHRIS LANGEL
Company: SEA COAST A/C
'Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State. FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
City: St _ _
Zip Code: I Fax: _ - r- t �T
Phone No.35a, t�511 co
E-Mail: I
Fill in fee simple Title Holder on next page if different
E-Mail: INFO @ SEACOASTAIR.COM
from the Owner listed above)
I
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: i
Address:
City: State: 1
Zip: Phone:
I
MORTGAGE COMPS
Name:
Address: I
City: I
Zip: Phone:
NY:
_ Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: I
City: I
Zip: Phone: I
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
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 permi
which is in conflict with any applicable Home Owners
Asso'clatlon rules, bylaws or and cove
structure. Please consult with your Home Owners Association and review your deed for an
In consideration of the granting of this requested permit, I do hereby agree that I will, in all
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Am
The following building permit applications are exempt from undergoing a full concurrency
accessory structures, swimming pools, fences, walls, signs,lscreen rooms and accessory us(
WARNING TO OWNER: Your failure to Record a Notice of Commencement may
improvements to your property. A Notice of Commencement must be recoi
before the first inspection. If you intend to obtain financing, consult with lei
-commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/ ontractor as Agent for Owner Signature of Contractor,
STATE OF FLORIDA ' STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF' ST
holder to build
the subject structure
rants that
may restrict or prohibit such
restriction
which may apply.
respects, p
arform the work
!ndments.
Mew: roor
additions,
to another
non-residential use
result in V
our paying twice for
led and
osted on the jobsite
der or an
attorney before
ce
The forgoing instrument was acknowledged before me The forgoing instrumen was ackno ledged before me
this _ day of , 20 _by this day of 1 20 by
4iRIS LANGEL I CHRIS LANGEL
\Name of person acknowledge) �n I (Name of person acknc
'nature of Notary Pu I c- State of Florida) . (vesonally
Mature of Notary P blic- State Florida) v
'Personally Known x OR Produced Identification I PKnown x OR Proc used Identification
Type of Identification Produced Type of Identification Produced
ssion No.,;i: .
Commission NI „ JUSTINALH�PbNSCON ( I)JUSTINALHOPKINSCON
r MY COM
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MY COMNN
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