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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Darc. 6t2t16 Permit Number: Building Permit Application Planning and Development Services Building snd Code Regulation Division 2300 Virginio Avenue, Fort Pierce FL 34982 Phone: (172) 462-1553 Fax: (772) 462-L578 Commercial Residential x PERMITAPPLICATION FOR: Mechanical PROPOSED IM PROVEMENT LOCATION : Address: 14362 CANCUN AVE Legal Description: Property Tax lD #: Site Plan Name: 1 306-1 1 1 -0001 -000-0 Lot No Block No. Project Name: Setbacks Front Back:Right Side: Left Side: LIKE FOR LIKE CHANGEOUT 4 TON,14 SEER 1O KW tona unoer tntsTT perm rt - cnecK a a pply: VI HVAC Electric Gas Tank Plu mbing Gas Piping Sprin klers tltl Sh utte rs Generator l-l *,noo*s/Doors tr_T Total Sq. Ft of Construction: Cost of Construction. S 4000.00 Building Height: OWNER/LESSEE:CONTRACTOR: Nurng WYNNE BUILDING CORP//GRUBBS Address:12804 SW 122nd AYE Cty MIAMI State: FL ZiP Code: 331 86 Fax: phone p6. 859-653-8313 (MARGO) 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: 31 08 INDUSTRIAL 31ST STREET t'-i+rr.!rly.FORT PIERCE 5tate:' - ZiP Code: 34946 pay. 772-466-3053 phone y6.772-466-2400 E-Mail: DANISEACOASTAIR@AOL.COM State or CountY License: CMC035421 lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DETAILED DESCRIPTION OF WORK: CONSTRUCTION I N FORMATION : SU PPLEM ENTAL CONSTRUCTIO'N L EN LAW INFORMAT ON: DESIGNER/ENGINEER: Not Appliga ble Name: Sta te: MORTGAGE COMPANY: Not Applicable Name: State: FEE SIMPLE TITLE HOLDER: _ Not Applioable Ad d ress: BONDING COMPANY: _Not Applicable Name: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. will authorize the permit holder to build the subiect strucrure ules, bylaws or and covenants that may restrict or prohibit such review your deed for any restrictions Which may apply. eby agree that I will, in all respects, perform the work s and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, slgns, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improve,merts to your property. A Notice of pommencement must be recoided and posted bnlne jobsite before the first inspection. lf you intend to o$tain financing, consult with lender or an attorney before commencing work or recordi ur Notice of Commencement, Revised 07l1512 REVIEWS FRONT COUNTER ZONING REVIEW SU PERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS _ Signature oT Owner/ Lessee/Agent STATE OF FLORIDA COUNTY Qf srrucre CHRISTOPHER FLANGEL (Name of person acknowledging ) ure of Notary ublic- State of Florida ) OR Produced ldentificatioPersonally Known x Type of ldentification Commission No. STATE OF FLORIDA COUNTY Qf sr rucrr CHRISTOPHER P LANGEL (Name of person acknowledging ) Personally Known x OR Produced ldentification Type of ldentification Produced Commission N Signature of Contractor/License Holder of Notary Public- State of Florida ) *rutxnl:':Fir ffi {e6EMAt{ MY COMMISSTON # FF961459