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HomeMy WebLinkAboutBUILDING PEMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Darc. 612116 Permit Number: Building Permit Application Planning and Development Services Building ond Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-L578 Commercial Residential x PERMITAPPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION : Address: 147 RIO MAR DR Legal Description: Property Tax lD #: Site Plan Name: 3419-51 5-0071 -000-4 Lot No Block No. Project Name: Setbacks Front Back:Right Side: Left Side: DETAILED DESCRIPTIOT\ OF WO.RK: LIKE FOR LIKE CHANGEOUT 3 TON ,14,5 SEER 7,5 KW IOrtronal\ Zruo. permrt -appry: I rt"ctric tr Gas Tank Plumbing trtr Gas Piping Sprin k lers tr- Sh utte rs Generator Ttr Windows/Doors Roof Total Sq. Ft of Construction:So. Ft. of First Floor: Utitities: [_lr"*", Et"* Buitding Height:Cost of Construction. g 5626.00 lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. CONSTRUCTION IN FORMATION : OWNER/LESSEE:CONTRACTOR: Name KENNETH WISE Address: 147 RIO MAR DR 6;1y. PORT ST LUCIE State: FL ZiP Code: 35952 phone y6.772-423-5923 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 FORT PIERCE ZiP Code: 14946 p3y. 772-466-3053 phone y6,772-466-2400 E-Mail: DANISEACOASTAIR@AOL.COM State or County License: CMC035421 SU PPLEM ENTAL CONSTRU CTION DESIGNER/ENGINEER: _ Not Applicable Name: Add ress: t/-ifrlurLy.State: zip: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: Address: City: 7ip:Phone: 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 authorize the permit holder to build the subiect strucrurewhich is in conflict with anV applicable Home Owners Asiociation rules, bvlaws or and covenants that mav restrict cjr orohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any restrictions ldhich 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 full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use _ Signature o STATE OF FLORIDA COUNTY Qf sr rucrr (Name of person acknowledging ) (Signature of Notary Public-State of Florida ) Personally Known x OR Produced ldentification Tvpe of ldentification Produced Commission No. of Contractor/License Holder STATE OF FLORIDA COUNTY Qf srrucre CHRISTOPHER P LANGEL ally Known OR Produced ldentification of ldentification (Name of person acknowledging re of Notary Public- State of Florida ) MY COMIE€a$N # FFe6145s EXPIRES rebfunry 16' 2020 (htnsout''ttloN # FFt EXPIRES Fobruory re^' Revised 0711512014 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS