HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/31/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulation Division
2:|00 Virginia Avenue, Fort Pierce FL 34982
Plrone: (772) 462-1553 Fax: (772\ 462-1518 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 904 BUCKEYE DRIVE
Lega I Description;
Property Tax lD #:
Siter Plan Name:
3404-501 -0528-000-4 Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side:
--
Left Side:
I orrnteo DEScRtploN oF woRK:
Ir____l
LII(E FOR LIKE CHANGEOUT
3IION 14 SEER 1O KW
wor u noer permrr -
[Ztuo.Gas Tank l_lcas eiping S h utte rs
Generator
l-l *,noo*s/Doors
[] r,u.,,.,. l-l plumnine
Total Sq. Ft of Construction:
l-l sprinkters tr T
Cost of Construction: $ 3700 00
Sq. Ft. of First Floor:
Utilities:l-lr"*urEt"orn *oin*.'un-
OWNER/LESSEE:CONTRACTOR:
Nsmg HELEN D MARSHALL
Adclress: 4032 GREENWOOD DRIVE
r-i+,,. FT PIERCE State: FL
ZiP Code: 34982 Fax:
p h cr ne 51 s. 7 7 2-446-2699
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
City: FoRL llqRCE State: FL
7in.nAo. 34946 Fa x:772-466-3053
phone Ns.772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PROPOSED IM PROVEMENT LOCATION :
CONSTRUCTION I N.FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
Zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appticabte
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
City:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie.County makes no representation that is granting a permit will a,uthorize the permit holder to build the subject structurewhich is in conflict with any dpplicable Home owhers Assocratron rures, oyii-wi;i;;J;;v;;;;t;ih;i miw"lirici?i"oioiilb*rt sucnstructure. Please consult With your Home Owners Association and ievi6w'ioijideed foi-any're;lri;tk;n;"\]hi;h'm;y;dpi-i""
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments.
The following building 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
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be recorded and posted bnlhe jobsite
ion. lf you intend to obtain financing, consult with lender or an attornev bef6recommenctng worK or recordin Notice of Commencemenr,
Revised 0711512014
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x
Type of ldentification
Commission No.
STATE OF FLORIDA
COUNTY Qf sr rucre
The forgoing instrument was acknowledged before me
CHRISTOPHER P LANGEL
Signatu?e of Contract6r
(Name of person acknowledging )
re of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Tvpe of ldentification ProducediiLfu. DAT{ELLE Sq WESHTAN
i;'i Hev couutssloN # FF961
EXPtful#ebruary 16,2020
wespnnnil
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
4b 11�1St
J.
s PLANNING & DEVELOPMENT SERVICES
J `c 1 BUILDING & ZONING DIVISION R �`E
2300 VIRGINIA AVE
- _ - FORT PIERCE, FL 34982 NOV 15 20%
(772) 462-1553 FAX 462-1578 PE -41TTING
W ",
St. Lucie County, i L
al
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF THE FOLLOWING:
CHANGE OF CONTRACTOR—Change of Contractor is to be signed and notarized by the property owner,
and the new contractor of record for the current permit. A new permit application must also be completed with new
contractor information and signature. A new Notice of Commencement must be filed in the new contractor's name
for job values greater than $2,500 ($7,500 if A/C Change-out). A recorded copy must be submitted prior to
commencing any work.There is a $50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR—Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub-
Co tractor.
CANCELLATION OF PERMIT—The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: IV� O�p�y l�Q Permit Number: l W 05" ou u
Site Addgvz J ess•
State Licens SLC License
Original GC, subcontractor or owner/builder
State License SLC License
New GC,subcontractor (� AReason for Cancellation we «If- 4mll l
n Y1C4bryLS(C(t1' CC .
The undersigned does hereby agree to indemnify and hold harmless St Lucie County,its officers,agents and employees from all
costs,fees or damages arising from any and all claims of action for any reason,which may arise as a result of this change of
contractor/subcontractor or cancqlation of permit.A permit cannot be cancell d if work h been formed.
t
. t an,
F ER(o owner/builder) f_ SIGNATURE GENERAL CO TRA TO (or new GC,as a�icable)
PRINT NAME 0 PRINT NAME
State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County
The following instrument was acknowled ed before me this T Ilowin is et was ac led f e this
t.,q day of ,20 by
day�o'f n n 20 �,by—tt�?l1
�. ffb kQk9 who is e onall known to me who isXersonally kw= to
P � Pzy• iH. .cj2Z� tfNpo
or o has roduce as Ime o oroducedasignature of Notary Date ignatu a otary Date
Revised 04/15/16 °'. r1"% JUSTINALHOPIONS�ONNEILY
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EXPIRES:December 6,2019
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BUILDING PERMIT
Online address!help:/fvrww.stlucieco,orglpfann}ngipermitting•htm
Quick Links:
Planning&Development Services Permit Status Lookup
Building&,code Regulation Division Online Building Inspection System
2304 Virginia Avenue
Fort Pierce,FL 34982
Phone:(772)482-9553 Fax:(772)146,2-1578
Permit#: SLC 1605-0566 Confirmation 985 Issued: 61212016
Jab Location: 904 BUCKEYE CR City: FORT PIERCE
Permit Type: MECHANICAL/HVAC RESIDENTIAL- Status: ISS Date Expired: 12102!2016
REPLACEMENT SYSTEM
Job Description: A,IR-CONDITIONER CHANCE OUT (LIKE FOR LIKE)3 TON, 94 SEER WITH 10 KVV.
Subdiv; WHITE CITY
Lot: 7 Block: Parcel: 3404-50,1-0528-00014
Setbacks Left; Right; Front: Rear: Zoning: RS-3
Number of Units: 1 Floors: 1 Buildings: 1 Square Footage:
Flood Map: Flood Zone: Elev:
Contractor CHRISTOPHER P LANGEL SEACOAST AiR CONDITIONING AND SHEET (772)466-2400
METAL INC
3106 INDUSTRIAL 31ST ST FT PIERCE,FL 34947
Property owner HELEN D MARSHALL (772)446-2£99
4032 GREENWOOD DR FORT PiERCF-,FL 34982
Permit holder acknowledges through acceptance of this permit that separate permits must be obvined as required by the Florida Building Code including those
for all electric,plumbing,mechanical,roofing and structural work.Further he/she acknowledges responsibility to comply with all requirements of the 2007 Florida
Sulding Code and the St Lucie County Land Devielopment Code.
Issuance of this permit may be appealed to the St.Lucie county Scard of Adjustment by an aggrieved party by filing a notice of appeal with St.Lucie County
Gmwth Management Director within thirty(30)days of the issuance of this permit in accordance with St.Lucie County Land Covelopment Code,Section
11.11.00.,Appeals,
Building Permits shall expire and become null and void if work authorized by such Building Permit Is not commenced,having called for and received a
satisfactory Inspection within six(6)months from the date of issuance of the permit or if the work is not completed within 18 months(permit by contractor)or 24
months(permit by owner)from the date of Issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.41 (A)(2),
NOTICE: In addition to the requirements of this permit,them may be additional restrictions applicable to this property that may be found in the records of this
county,and there may be additional permits required from other governmental entities such as water management dlsitricts,state agencies,or federal agencies.
s:553.79(10),F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. a NOTICE OF COMMENCEMENT MUST BE RECOrROED AND.POSTED ON THE JOB SITE BEFORE
THE FIRST INSPECTION. iF YOU INTEND TO OBTAIN FINANCING,,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORIONG
YOU NOTICE OF COMMENCEMENT.s:713.135(10(6),F.S.-
Carl Peterson Gate
Building Official
SEACOAST AIR CONDITIONING & SHEET METAL, INC.
3108 INDUSTRIAL 31" ST
FORT PIERCE, FL. 34946
(772) 466-2400
FAX (772) 466-2417
November 14, 2016
To whom it may concern,
We are sending this letter to you today to request that the following permit be voided/cancel:
➢ 1605-0566 Helen D. Marshall
■ 904 Buckeye Drive, Ft Pierce, FL
The customer has stated to us that the A/C unit that was installed has been stolen and no
longer at the residence. Please kindly contact our office at 772-466-2400 if you have any
questions.
Sincerely,
Chris pher P. ngel
:,� rv�; JU371NA L HOPION54;ONNBIY
W COMMISSION t FF 941411
EXPIRES:December 6,2019
,$( Bonded Thni Notary Public Undenrdteis