HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 6/3/16 permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2j00 Virginia AvenLte, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (712) 462-L518 Commercial Residential x
PERMIT APPLICATION Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5385 CHRISTENSEN ROAD
Legal Description:
Property Tax lD #:
Site Plan Name:
3405-700-0002-000-5 Lot No,
Block No.
Project Name:
Setbacks Front Ba ck:Right Side:Left Side:
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r_r1n r ! E D D E lc R f r r oru_o_lilllf r<,
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LIKE FOR LIKE CHANGEOUT
2 5 TON 16 SEER BKW
CONSTRUCTION I N FORMATION :
a pplv:
l-lcas eiping I Sh utte rs
G enerator
ntr
Windows/Doors
Roofn
Total Sq, Ft of Construction:Sq, Ft. of First
utilities: l--lr"*"r.
Floor:
t---t ^ -I lSepltcCost of Construction: $ 5603 00 Building Height:
OWNER/LESSEE:
N3ms RUSSELL PITTS Name: CHRISTOPHER P LANGEL
Address: 5385 CHRISTENSEN Company:SEA COAST AIR CONDITIONING
city: fI I]F59E trl)tale:' *Address: 3108 INDUSTRIAL 31ST STREET
ZiP Cods; 34981 Fa x:city' !9SlllExsE Srare:' -
phone 116. 61 6-822-2465 7in CaAa' 34946 Vvy. 772-466-3053
phone y6.772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL COM
State or County License: CMC035421
CONTRACTOR:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _-- Not Applicable
Name:
Add ress:
City
zip'.
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:
Ad d ress:
City:
7ip:P hone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countv makes no reoresentation that is srantine a oermit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Ow6ers Asiociation rules, bvlaws or and covenants that mav restrict cjr 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, 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 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
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
commencins work or recording vour Notice of Commencement,
Revised 07l
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P E RVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM PLETE
INITIALS
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRtsroPHER 4rnnoel
Personallv Known x OR Produced ldentification
Tvpe of ldentification Produced
of Owner/ Lessee/Agent
(Na f person acknowledging )
ignature of Notary Public- State of Florida )
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
Personally Known X OR Produced ldentification
Type of ldentification Produced
Signature of Contractor/License Holder
person acknowledging
ature of NotarV Public- State of Florida )
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