HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c7
Date: 02/17/2017 Permit Number:
sr7crr__ 7 RECEI;'�D FEB 172017
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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION: `
Address: 7463 COMMERCIAL CIRCLE
Legal Description:
Property Tax ID #: 1335-802-0002-000-8
Site Plan Name:
Project Name: MEDFIELD REALTY AND INVEST CORP
Setbacks Front Back: Right Side:
DETAILED, DESCRIPTION OF WORK:
t
INSTALLATION OF ROOF TOP EXHAUST FAN
Left Side:
Lot No.
Block No.
CONSTRUCTION]NFORMATION:
tlona wor to e e orme under tispermit-Checka apply:
❑✓_ HVP ff Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric ElPlumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4,985.00 Utilities. Ft
E Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MEDFIELD REALTY & INVEST. CORP (HOO RAG)
Name: CHRIS LANGEL
Address: 7463 COMMERCIAL CIRCLE, UNIT 110
Company: SEACOAST A/C
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-563-8661
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
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: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
F.
SUPPLEMENTAL`CONSTRUCTIONLIEN L•AW INFORMATION: '
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
as Agent for Owner
STATE OF FLORIDA
CO U NTY O F sT LUCIE
STATE OF FLORIDA
CO U NTY O F sT Lucie
The forgoing Instryrnnt was acknowledged before me The forgoing instru nt was acknowledged before me
this a--r_ day of l P �. 20 fl-by this la day of b 20 a by
CHRIS LANGEL. CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
of Notary Pu
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF941411 JU'o Commission No. FF941411
�.�,,$ L NOPgNSCONNBIY pp
? -.4 W.MM.10NtFP941411 ^.. HI
Revised 07/15/2014
REVIEWS
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