HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE II{FO MUST BE COMPLETED FOR APPLICATIONTO BT ACCEPTED
DaIe. 211712016 Permit Number:
Bu ilding Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (172) 462-1553 Fax: (772) 462-ISt8 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1 301 -608-01 83-000-9 Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER 1O KW
CONSTRU CTION I N FORMATION :
wor under tnls pernilt - c a pprv:
V
T
HVAC
E I ectri c
Gas Tank
Plu mbing
l--l^I l(]as Hrprng Sh utters
Generato r
tlT Windows/Doors
Roofu[_lsprint<ters tr
Total Sq. Ft of Construction:
Cost of Construction. S 5803.00 Building Height:
CONTRACTOR:
Name: JOHN V LANGEL
rnmnrnrr. SEA COAST fuC
Address: 2601 INDUSTRIAL. AVE 3
City: FT PIERCE 5IAIC: I L
7;. 1^.4o. 34946 p3x. 466-3053
phone po. 466-2400
E-M ait : DANISEACOASTAI R@AOL.CoM
State or Countv License: CIICO'1 6446
PERMITAPPLICATION FOR: Mechanical
PROPOSEDI IM PROVEM ENT LOCATION :
Address: 8505 BORTH BLVD
DEI-AILED DESCRIPTION OF WORK:
owNER/LEISSEE:
J13rng JANINE PAUL
Address: 8305 NORTH BLVD
City: FT PIERCE
zi^ c^a^. 34951
phone yo.772-461-7864
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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 subiect strucLurewhich is in conflict with any.ipplicable Home owfieis As;ociaiion iuiiii, ur;i;w;oi;;{;;vA;;;t;ih;i ft;t-r;itrici;Iir'r6iiiirit suctrstructure. Please consult With your Home owners Associalioh anA ievi6w'yoiji deed ioi-anv reilliiirons wnrcn may appty.
In consideration of the granting of this requested permit, I do hereby agree thal I will, in all respects, perform the workin 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
ncement must be record --. -encement must be record
commencing wdK or recorCinf Vo otice of Commencement,
Revised 07l15l
DESIGNER/ENGINEER: _ lrtot npplicable
Phone:
MORTGA,GE COMPANY: _ Not Appticabte
Name:
Zip: __Phone:
FEE SIMPLE TITLI! HOLDER: _ Not Applicable
Name:
Add ress:
BONDING COMPANY: _Not Applicable
Name:
Address:
_ Signature ofipwnerl Le
STATE O LORIDA
The foreoine ins
this [1" cJvot
nt was acknowledged before me
ed ldentification
Signature of Cofi tor
STATE OF,P|.ORIDA
COUNT )f sr rucre
The forgoing instrument was acknowledged before me
this 17 day o; FEenuncY , zo lU nv
(Signature of Nota
Personally
Type of
REVIEW