HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE I FO[2T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —
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
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Legal Description:
Property Tax ID #:
ccoLot No.
Site Plan Name•
Block No.
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Project Name: C�
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Setbacks Front Back: Right Side:
Left Side:
DE-IT ILED DESCRIPTIO" ter.
LIKE FOR LIKE A/C CHANGEOUT
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Additional work to be ertormed under tispermit–check
HVAC Gas Tank ❑Gas Piping
aappy:
_ Shutters ❑ Windows/Doors
Electric Plumbing []Sprinklers
0Generator Roof Roof pitch
Total Sq. Ft of Constructio Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer Eleptic Building Height:
Nam
Name: CHRIS LANGEL
Addres :
Y L
Company: SEACOAST A/C
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City, State:..�-IL
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: Fax:
Phone No. –
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: INFO@SEACOASTAIR.COM
State or County License: CMC035421
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTALCONS ILICTION LIEN LAW, `INFURMAI IUN:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 Vour Notice of Commencement.
as
STATE OF FLORIDA
COUNTY OF Sr LUCIE
STATE OF FLORIDA
COUNTY OF ST LUCIE
The f Ing inst was acknowle2011 yre me The jgyfr,ting instr t ledg� fore me
thisda of 20 _b this V dayof 20 by
01iRIS LANGEL CHRIS LANGEL
(Name of person acknowledging) n ^ n (Name of person acknowledging) I n
of Notary Public- State
,personally Known x
Type of Identification
Commission
Revised 07/
OR Produced Identification
EXPIRES: December 6, 2019
of Notary Public- State of
Persdnally Known x OR Produced Identification
Type of Identification Produced
R FF 941411
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS