HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 5123116 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax (772) 462-1.518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED I MPROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
4422-502-0023-000-6 Lot No.
Block No,
Project Name:
Setbacks Front Back: Rieht Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 TON 16 SEER 5 KW
rtormed un tn tstrT
permrt -ao0tv:
Gas Tank
Plumbing
Gas Piping
Sprinklers
Sh utte rs
Generator
l_l *,noo*s/DoorsTIRoof
Total Sq, Ft of Construction:
Cost of Construction: $ 6050 00 Building Height:
Address: 12188 RIVERBEND LANE
OWNER/LESSEE:CONTRACTOR:
N3ms DOUGLAS KING
Address: 121 88 RIVERBEND LANE
City: PORT ST LUCIE trl5IaIe:' -
ZiP Code: 34982 Fax:
phone 11s. 772-7 08-57 1 5
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Com pany: SEA COAST Al Rge\DlllorylNG
Address: 3108 INDUSTRIAL 31ST STREET
City: FORT PIERCE State: FL
ZiP Code: 34946 Fax:772-466-3053
p hone y1s. 77 2-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CON STRU CTIO.N LN FO R MATI.O N :
CONSTRUCTION LIEN LAW IN FORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add
City
7ip:
ress:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip: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 structurewhich is in conflict with any dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict rjr prohibit suchstructure. 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.
The following 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 befirre
com rk di Notice of CItenctItH, wo ot P( n u eo ommencemen
thaw Y %(dL r Wu/()
_ Signature of Owner/ Lessee/Agent
STATE OF FLOR!DA
COUNTY Qf sr rucre
The ing inst
this day of _
cHRtsroPHER 4lRncer
Signature of Contractor/License Holder
STATE OF FLOR]DA
COUNTY Qf sr rucrr
CHRISTOPHER P LANGEL
(Name of person acknowledging )
MtJO.u*qto,
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
nature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Revised 07ll5l
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS