HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLTCABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTTD
oate:2/18416 t'ermit Number;
Building Permit Application
Pla nning ond Devc'lopme nt Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort pierce FL 34992
Phone: (772) 46it-ISS3 Fax: (772) 462-1,578 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1 425-605-0063-000-4 Lot No
Block No
Project Name:
Setbacks Front Flight Side: Left Side:
DETA]LED DESCRIPTION OF WORK:
LIKE FOR LIKE: CHANGEOUT
3 TON 16,SEEIR 8 KW
ormeo u nder s perrntt - c a pprv:
UCTION INFORMATION:
Gas Tank
Plu mbing
l-le as eiping S h utte rs
Generator
l_l *,noo*s/DoorsIl-l sprinkters I tr
TotalSq. Ft of Con:;truction:
Cost of Constructign. E 4945.00 Building Height:
CONTRA.CTOR:
Name: JOI-IN V LANGEL
Company: SEA COAST A/C
Address: 21601 INDUSTRIAL AVE 3
City: FT PIERCE )rate:' L
ZiP Code: 34946 +oo-JUcJ
phone 11e, 466-2400
E-M ail : DITNISEACOASTAIR@AOL CON4
State or Countv License: CACO16446
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 3212 S LAKEVIEW CTRCLE
OWNER/LESSEE:
N3mg ROBERT WIMLER
Address:llANNSTREET
City: PORTLAND State: CT
ZiP Code: 06480
phone 11o. 860-30 1 -7463
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Signatureof tractor/Lic flo
STATE FLORIDA
O p sr rucre
I certify that no work or installation has commenced prior to the issuance of a permit.
st Lucie countv makes no representation that is qla-ltjlF^a^p^:l1it-will a,uthori;ze the permit holder to build the subiect structurewhich is in conflict with any dppllcatjle ncjriiJowhers AsSociation rules, byiiw!-oi;;d;;v;;;itiihrt may,restrict or prohibit suchstructure' Please consult with your Home owneis Aslotiiaiioi-;;'d' r";i6;'y;iii u'eeu'roil"v'i.riii'ii,on, wnrcn may appty.
In consideration of the granting of this requested permit, ldo hereby agree th;rt lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building codes rno it. Lucie county Amendments.
Thefollowing buildirrg 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
The forgoinEJ instrument was acknowledged before me
this 18 d3'7 6f FEsnuAnY 20 by
Revised 0711512014
Commission No.
(Signature o,f of Florida )
own X ldentification
tif icatio n
DESIGNER/ENGilNEER: _ Not AFpiid6lE
Name:
Add ress:
MORTG/\GE COMPANy: _ Not Applicable
Ad d ress:
State:
Zip: __Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appticabte
Name:
Ad d ress:
Zip: __ Phone:
BONDING COMPANy: _Not Applicable
Name:
_ Signaturegf Ownelr/
STATE FLORIDA
COUNTY Qf sr rucre
State of Florida )
OR Produced ldentification
:.T:.Y KAY LAnxcELyr ro!4MtsSlo$edFr +aozzFXFTFES August so, elle
ru*.^iIR
:t"" t;;;'
PLANS
REVIEW
SU P ERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGRO
REVIEW
INITIALS