HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 03/'16/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-1518 Commercial Residential x
Address: 4200 N A1A#715
Legal Description:
Property Tax lD #:
Site Plan Name:
1423-501-01 51 -000-3 Lot No
Block No.
Project Name:
Setbacks Front Back: Rieht Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR
2 TON 15
LIKE CHANGEOUT
SEER 5 KW
CONSTRU CTION IN FORMATIO N :
a ppT\rs perm rT -
Gas Tank
Plumbing
l_lcas eiping
l_lsprinkters
S h utte rs
Generato r
l_l *,noo*s/Doors
l-l rte.tric tr I T Roof
Total Sq. Ft of Construction:Sq. Ft, of First Floor:
Utilities: l_l r"*", [-] t"* Building Height:Cost of Construction.S 4736.00
OWNER/LESSEE;
N3ms CATHERINE McGOVERN (KILGALLON)
Address:9 PROSPECT PARK WEST #3A
City: BROOKLYN S tate: NY
ZiP Code: 11215 Fax:
phone 11s. 7'l 8-551 -7353
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JOHN V LANGEL
SEA COAST A/C
Address: 2601 INDUSTRIAL AVE 3
FT PIERCE State: FL
ZiP Code: X4!46 p3x. 466-3053
phone 11e, 466-2400
E-M ait : DANISEACOASTAIR@AOL.COM
State or County License: CACO'I6446
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
PERMITAPPLICATION FOR: Mechanical
PROPOSED I M PROVEMENT LOCATIOII :
DESIGNE
Name:
GINEER:Not Applicable
Add ress:
City:State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
Add ress:
City:
Phone:
lcertifythat no work or installation has commencecl priorto the issuance of a permit.
St. Lucie Countv makes no representation that is erantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict dr 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 lwill, 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, sylimming pools, fences, walls, signs, screen rooms and accessory uses to anoher non-resid use
WARNING re to Recorr ement your paimprovem A Notice o1 st be r posted
before the intend to r ult wit n attofcommenci ou4\otice / /,
wice for
jobsite
e
Revised 0711512014
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
of Owner/ Less/e/Agent
The forgoing instrument was acknowledged before rne
JoHN v LnuoeLr
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
STATE OF
COUNTY @f sr rucre
The forgoing instrument was acknowledged before me
this 16 day of MARoH
Personally Known x OR Produced ldentification
Type of ldentificali
(Name of person acknowledging )
( ature of Notary blic- Stdte of Florida )
MY coMMlsstoN S FFsttl'
cvstFlFS Fsbru48etq 2020
EXPIRES F€bruery 16, 2020