HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONF
%LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: is Permit Number: 50 C) a d D
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
IERMITAPPLICATION FOR: Mechanical
`PROPOSED" IIV(PI20U,EMEt
,LOCATION
Address: 900 N ROCK ROAD
Legal Description:
Property Tax ID #: 2311-210-0000-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
1-2TON 15.1 SEER 3.8 KW M (y
Lot No.
Block No.
Ju1uond1 wurK iU Ue
zHVAC
0 Electric
enurrneU
unUern.nn perrnn— cnecK du apply:
Gas Tank ❑Gas Piping _Shutters ❑
Plumbing Sprinklers 1:1 Generator D
Windows/Doors
Roof
El
Total Sq. Ft of Construction:
Cost of Construction: $ 17,848.00
S Ft. of First Floor: _
Utilities:cn Sewer E]Septic
Building Height:
Name ST LUCIE COUNTY
Name: JOHN V LANGEL
Address:2300 VIRGINIA AVE
Company: SEACOAST AIR CONDITIONING
City: FT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-216-1652
Address: 2601 INDUSTRIAL AVE 3
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 466-3053
Phone No. 772-466-2400
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: TLSEACOASTAIR@AOL.COM
State or County License: CAC016446
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEME01f41LCONSTRUCTION`LIEN;LAWINFORMATION2 s r
DESIGNER/ENGINEER: _ Not Applicable OR GAGE COMPANY: _ Not Applicable
Name: NamMe:
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 NER: Your failure to Record a Notice of Commencement may re t in your paying twice for
improverren o your property. A Notice of Commencement must be record and posted on the jobsite
before the f st inspectig4(. If you intend to obtain financing, consult with le er or an att>�rney bre
comment' a work or r ordt'he�iour Notice of Commencement. , A
Lessee
'E OF FLORI
NTY OF sTLU
The o g instruowledge efore me
thi ay of fir, 20 L9 by
JOHN V LANGEL-L
of Notary Public -State FI ida" /f
/Known x OR Pro ced Identification
Commission n�
Revised
STATE OFXORID
COUNTY FSTLUCIE
The forgoing instrument was acknowledg dbefore me
this 20 day of JANUARV . 20by
JOHN V LANGEL
(Name of per:
State
Identification
'fFFig8072
130 9018 (Seal)
REVIEWS
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ZONING
SUPERVISOR
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DATE
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INITIALS