HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA
ALL APP:UABLE ISO MUSTyE COMPLETED FOR APPLICATION TO BE ACCEPTED f�2
Date: (J� � '✓< �S SCANNED Permit Number:
BY
St. Luce County
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)41i2-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 3100 n ale #701
Legal Description:
Property Tax ID #: 1425-606.0023-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
like for like change out 3.5 ton water source heat pump 13.5 eer
OHVAC ❑ Gas Tank
13 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4265.00
Lot No.
Block No,
Piping Ushutters ❑Windows/Doors
nklers 1:1 Generator Roof
S Ft. of First Floor: _
UtilitiestSewer Septic
Name Carolina robgbiano I sanieev shah
Address:621 TIBIDABO AVE
City: COARAL GABLES State: _
Building Height:
Name: JOHN V LANGEL
Company: SEACOAST AIR CONDITIONING
Adrir,. 2601 INDUSTRIAL AVE 3
mij �uue: ----- raX: City: P I F'IkKlit State: FL
Phone No. Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page (if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CACO16446
If value of construction is $2500 or more, a RECORDED Notice of Commencement IS required
�Cal lmrn/CIV"I nithm: Not App
Name:
Atlaress:
City:
Zip: Phone:
FEE SIMPLE TITLE
Name:
Address:
City:
Zip:
one:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
which is in conflict with any applicableiHomeOwners tAssociationl permit
les abylaws or andpcovenants that mayldrestrict or prohib t 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. I ucle 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 7 OWNER: Your failure to Record a Notice of Commence en ay result in your paying twice for
improve h e s to your p operty. A Notice of Commencement must b corded an posted on the jobsite
before the Irst inspect' n. If yo ntend to obtain financing, consul t lender an a ney before
commen ' work or cordin our Notice of Commencement.
_ si ure of O ner ssee/Agent Sign of Contractor Icense Holder s
E OF FLORI STATE OF FLORID
UNTY OF sr was COUNTY OF sn ucte
Thef I ains
this y of
Personally
MY COMMISSION #FF1
p(PIR ugu t30.
Revised 07/15/2014
III REVIEWS I FRONT ZNING
CO LATER I REVIEW
INITIALS
me The forgoing instrument was acknowledged before me
this 20 day of Pee . Zp by
Personally Known x . OR Produced Identification
TRACY KAY
SUPERVISOR I PLANS VEGETATION I SEATURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW