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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 6/2/1 6 permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL j4982 Phone: (ll2) 462-1553 Fax: (172]r 462-1578 Commercial Residential x PERMITAPPLICATION FOR: Mechanical Legal Description: Property Tax lD #: Site Plan Name; 3334-500-0081 -000-1 Lot No Block No. Project Name: Setbacks Front Back: Rieht Side:Left Side: LIKE FOR LIKE CHANGEOUT 2 TON 16 SEER 5 KW ldtt V! tona rs pe _C a ootv: HVAC Electric Gas Tank Plu mbing l_leas eiping Sh utte rs Generator TT Windows/Doors RoofTl---lsprint<lers tltl Total Sq. Ft of Construction: Cost of Construction. g 4185.00 Building Height: Name: CHRISTOPHER P LANGEL Company: SEA COAST AIR CONDITIONING Address: 3108 INDUSTRIAL 31ST STREET City: FORT PIERCE 5Tare:' . 7in Cnrlo' 34946 V'6*. 772-466-3053 phone 11o. 7 72-466-2400 E-M ail: DANISEACOASTAIR@AOL.COM State or Countv License: cMCo35421 PROPOSED IM PROVEMENT LOCATION : Address: 8901 ONE-PUTT PLACE DETAILED DESCRIPTION OF WORK: OWNER/LESSEE:CONTRACTOR: 113ms RICHARD HAMMER Address: 8901 ONE-PUTT PLACE 611u' PORT ST LUCIE State: FL ZiP Code: 31986 p h o n e 11 6. 7 7 2-467 -0262 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. CONSTR.UCTION I N FORMATIO.N : i:.:{i DESIGNER/ENGINEER: _ Not Applicable Name: Add ress: City State: zip:Phone: MORTGAGE COMPANY: Not Apolicable Name: Ad d ress: City:State: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name SSAddre City: zip:Phone: BONDING COMPANY: _Not Applicable Name: Add ress: City: zip: I certify that no work or installation has commenced prior to the issuance of a permit. st,. Lucie.county.makeg no representation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls In conlllct wltn any appllcable Home Owners Association rules, bylaws or and covenants that maV restrict dr prohibit suchstructure. Please consult with your Home owners RssoCiatfoh ano ievi6w'voijideea toi ahv reilri;tk;n;;ihi;h'r;y;fpi-i."" In consideration of the granting of this requested permit, I do hereby agree that I will, 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, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentjal use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice forlmprove,ments to your property. A Notice of Commencement must be recorded and posted bnlhe jobsite betore the first inspection. lf.you intend to obtain financing, consult with lender or an attorney beforecommencing work or recordin Notice of Commencement, Revised 0711512014 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE IN ITIALS _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY Qf sr rucre The ing instthis day of .1 (Name of person acknowledging ) (Sighature of Notary Public- State of Florida ) Personally Known x OR Produced ldentification Type of ldentification Produced Commission No. STATE OF FLORIDA COUNTY Qf sr r-uoe CHRISTOPHER P LANGEL Signature of Contractor Personally l(nown x OR Produced ldentification Type of ldentification Produced Commission No. (Name of person acknowledging ) ( ature of Notary Public- State