HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/23116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 4901 GROVERS ROAD
Legal Description:
Property Tax lD #:
Site Plan Name:
1 3'l 3-1 32-0003-000-1 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 5 TON 16 SEER 9 KW
ldrtronal \
Zruo.
permtr -a ppry:
f rl".tri.T_-
Gas Tank
Plumbing
Ttr
Gas Piping
Sprin klers T S h utte rs
Generato r
Ttr
Windows/Doors
Roof
Total Sq. Ft of Constru.l;en, 6213.00 So. Ft. of First Floor:
Utilities: l_l r"*ur. E t"
-
Cost of Construction: $
OWNER/LESSEE:CONTRACTOR:
Nsmg EVERETT PRIEST
Address: 4901 GROVERS ROAD
City: FT PIERCE State: FL
ZiP Code: 34951 Fax:
phone Ns.772-466-0374
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State: FL
Zip Code: ?4346 p1y' 772-466-3053
p hone y16. 77 2-466-2400
E-M ail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION IN FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add
City
zip:
rCSS:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: Not Applicable
Name:
Add ress:
City:
7ip:Phone:
I certify 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 oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Own-ers Asiociation rules, bvlaws or and covenants that mav restrict cir 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, ldo 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,
Thefollowing building permit applications are exempt from undergoing a fullconcurrency 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 your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recordi ur Notice of Commencement.
Revised 07 l15l20l4
_ Signatur'e of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucrr
Personally Known X
Type of ldentification
Commission No.
(Name of person acknowledging )
ture of Notary Public- StatE of Florida )
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
Personally Known x
Type of ldentification
Commission No.
(Name of person acknowledging )
ature of Notary Public- State of Florida )
uSAIIEbTiEUiUyESEMAN
EXPIRES Fobru€ry 16,2020
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS