HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Plonning and Development Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-t518
PERMIT APPLICATION FOR: Mechani,:al
PROPOSED IM PROVEM ENT LOCATIO N :
Buildiing Permit Application
Commercial Residential x
Address: 3920 N 41A 1 303
Legal Description:
Property Tax lD #:
Site Plan Name:
1 423-505-0047-000-3 Lot No
Block No.
Project Name:
Setbacks Front Back: __ Right Side: _ Left Side:
f
I DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON 14 SEER lOIIW
rs perm rr -
l_l<,as eiping tr
tr_
Gas Tank
Plumbing
S h utte rs
Generator
Windows/Doors
RoofTl_l:sprintters tr
Sq. Ft. of First
Utilities: l-lru*"r.
Floor:
Et"*Building Height:
Total So. Ft of Construction:
Cost of Construction: $ 4760'00
N3rng ANTHONY ALBANESE
Address:15 ELIA CIR
g;1y. CANASTOTA lState: NY
ZiP Code: 13032 Fax:
phone pe.3153807432
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:OWNER/LESSEE:
Name: JOHN V LANGEL
SEA COAST A/C
Address: 2601 INDUSTRIAL AVE 3
State: FL
ZiP Code: 34949 p1y. 772-466-5303
phone 11s. 772-466-2400
E-Mail da
State or Countv License:cACO'16446
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATIO N :
I certifv that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holder to build the subject structure
whiiTii;i; conlict wiih anv:ipptica6l€t Horn;bwfieisAs3ociaiion iuies,-bviawiorand iovenants that may 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 pr:rmit, 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 exenlpt 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 Recond a Notice of Commencement may result in your paying twice for
improvements to ffrur property. ff Notice of Commencement must be recorAec and postgd on the- jobsite
before the first iffigction, lf yory'iffindlo obtain financing, consult with ly'y'der or an at!6rn9Y 9sttore
commencins work dr record of Commencement.
_ Signatur e/f pw ner I Lessee/
STATE,OF,f,LORIDA
COUN'[YOF sr Lucte
,toHn v Lnrucerr
f person acknowledging )
Personally Known x OR Produced ldentifi
Type of ldentification P
Commission No.
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Ad d ress:
Zip: Phone:
COMPANY:
-Not
APPlicable
7ip: Phone:
Si gn atu re of 'p6ftr actor I Li
The forgoing instrument was acknowledged before me
this 7rH day of MARoH
Personally Known x OR Produced ldentification
Type of ldentification Produced
Public- State of F
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PE RVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
t^'lflll""r'N # FF$6146s
MY UqdflIl'--'"'j-:isE'{ February 16' 2o2o
i:: MY COMMTSSTON # FF961459