HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APP CABL NFO MU
T COMPLETED FOR APPLIC i TION TO BE ACCEPTED
Dat :
Permit Number: I
SCANNED
RECEIVED
LOP
permit
Building Application MAR 2 6018
Planning and Development
Services
Building and Code Regulatipn
Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort
ierce FL 34982
Phone: (772) 462-1553
Fax: (772) 462-1578 Commercial Residential X —
PERMIT APPLICATION
FOR: Mechanical I
Address:
Legal Description:
I
Property Tax ID #:
i
— — Lot No.
Site Plan Name:
BI c No.
Project Name:
_ Back: Right Side: ` Left Side:
Setbacks Front
LIKE FOR LIKE
itiona or to be nej7ormedunder
ZHVAC I
this permit — c ec a apply:
as Tank Gas Piping l Shutters
° a
_J
Windows/Doors
-
Electric Plumbing
[]Sprinklers E Generator El Roof Roof pitch
Total Sq. Ft of Coristructioi
i, 9N S . Ft. If First Floor:
Cost of Construction: $
Utilities: le,werDSeptic Building Height:
e: CHRIS LANGEL
Name
Addres
��� btrpan
iySEA COAST A/C
State: EL
City:
Address: 3108 INDUSTRIAL 31st STREET
Zip Code:
Fax:
City: FTi IERCE State: FL
Phone No.firlep•_
Zip Code: 34946 Fax: 772-466-3053
E-Mail:
i
Phone No. 772-466-2400
Fill in fee simple Title Holder
on next page if different
SEACOASTAIR.COMNFO
E-Mail: I @
from the Owner listed above)
State or County License: CMC035421
If value of construction is WOO
or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City; State:
Zip: Phone:
MORTGAGE COMP
Name:
Address:
City:
Zip: Phone:
i NY:
_ Not Applicable
State:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
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 Association rules, bylaws or and covenants
holder to build
that
the subject structure
may restrict or prohibit such
structure. Please consult with your Home Owners Association and; review your deed for any
restriction
which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all
respects, p
rform the work
in accordance with the approved plans, the Florida Building Codesiand St. Lucie County Am
ndments.
The following building permit applications are exempt from undergoing a full concurrency i
eview: roor
n 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 ofiCommencement may
result in N
our paying twice for
improvements to your property. A Notice of Commencement must be recorded
and
osted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender
or an
attorney before
commencing work or recording our Notice of Commencement.
Signature of Contractor
i
License Holder
Signature of Own6 /Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF sr
uclE
Th ftfo* ginst � ledg fore me
sthiy Of.. 20I by
eRIS LANGEL
( ame of person acknowledging)n
n n
da
Pefsonally Known x OR Produced Identification
Type of Identification Produced
Commission N
Revised 07/15/2014
5UW)L HOPKINS-CONNELLY
MY COMMISSION # FF 941411
FxPIRES: December 6, 2019
Bonded Thru Notary Public Undentm*F
ng ins en was a �o led efore me
lay of 1 20 by
I CHRIS LANGEL
I
(Name of person acknowledging
)
(Sign ure of Notary P
IPersonally
c - State
f Florida )
Known x
OR Pro
uced Identification
Type of Identification Produced
Commission No
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