HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number,
•
Building Permit Application
Planning and Development Services
Building and Code Regulation DiviSiorl
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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Address! 6385 CHASKA ST
Legal Description:
Property Tax ID#: 3409-7030044-000-2 Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 3-5 TON 10 KW 15 SEER
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Additional worK to be errormed under this permit—chOCK all apply;
ZHVAC Gas Tank F7Gas Piping Shutters Windows/Doors
11 Electric Plumbing E1Sprinklers Generator Roof
Total Sq. Ft of Construction: 50. Ft.of First Floor:
Cost of Construction: 5370,00 Utilities: Sewer LJSeptic Building Height:
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Name JAMES KATHLEEN MEYER Name: JOHN V LANGEL
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Address:6385 CHASKA STREET Company: SEA COAST AIC
City! FT PIERCE State. Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34982 Fax: Clty: FT PIERCE State.FL
370-6�57 Zip Code: 34946 Fax: 466-3053
Phone No.
E-Mail:
Phone No, 466-2400
T Holder on next page (if different E-Mail: TLSEACOASTAIR@AOL,COM
Fill in fee simple Title older CAC016446
f from listed State or County License:
from the Owner listed above)
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGI NEER- 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 Count 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 yo property.A Notice of Commencement must be recorded and posted on the jobsite
Sig
tion,
before the first in liDn, If you intend to obtain financing, consult with lend or an attornoey before
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commencing wor r ripcording yj6g No4ce of Commencement.
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Signature of Q ner/Lessee/Ag Signature of Contr or/License H -1
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STATE OF 7' 'E OFF ZIDA
OORIDA STAT
COUNTY T LLCIE COUNTY OF ST WrIE
Th g instrument a edge re me The forgoing instrument was acknowledged before me
, ayof 20 this " day of AM 20 _by
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.JOHN VXAQRL' JOHN V LANCIEL
(Nan*o4pers ackn ledging) (Na
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(Si—nature of ary Public-S!a o U
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Personally Known x dLjcFtPersonally Known x OR Produced Identification
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Type of Identification i d Type of identification Produced
Commission No, th service-cam
.s 63 F1 Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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