HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 6/7/16 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virqinia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1,553 Fax: (772\ 462-1,578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanrcal
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1 436-601 -0037000-5 Lot No,
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
2TON ,14 SEER 5 KW
CONSTRUCTION I N FORMATION :
ldtttonal \
Znuo.
o bg gertormed under thTs perniif:-c-hcck allffidEptv-:
{lnuo. | | e* runt [--lcas eiping | | Shutters [-l *,noo*s/DoorsLlnvAL LJ bas lank I lGas Piping | | Shutterst_. n T-l f-l---lElectric I lPlumbing LJSprinklers I lGeneraror lIrtectric
Total Sq. Ft of Construction:Sq. Ft, of First Floor:
Ut t es: l-l ru**, I t-;;.Cost of Construction' S 4100 00 Building Height:
CTOR: --
Sfgfn;a;-rnr.rcr+ --SEA COAST AIR CONDITIONil\G----
4:f___-_ *;zz<aa^sos3
772-466-2400
N I sTACoASTAt npffi1-. 6o t
untY License, 9Y9!x511
-
OWNER/LESSEE: CTOR:
Zip Code:g:4e--___ F
phone No 7?-165-1002 4946 Fax:
E-Mail:-- ir466:r4oo
Fill in fee simple Title Holder NISEACOASTAIR@AOL.COM
from the Owner listed above untv License. CMC035421
Address: 2430 tMOORINGS LANE
DETAILED DESCRIPTION OF WORI(:
lf value of construction i;S-2a00 or more, a REcoRDED Notice of commencem""l i;A;;irud.
coNSTRUCTToN Lr EN LAW r rir ronrvrnirorir :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:
zip:
State:
Ph one:
MORTGAGE COMPANY: Not Aoolicable
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:
a i+, ,,Lrry.
Zip:Phone:
I certify that no work or installation has commenced prior to the issuance clf a permit.
St, Lucie County makes no repre,sentation that is granting a permit will authorize the permit holder to build the subiect structurewhich is in conflict with any g'pplicab,le Home owfiers nsiociition iuiei,-dyi;*;;i;;{;;;6;r;;t;ii ;i ffiy"r;tirii?i'p'13iii,ltirit,structure. Please consult with'your Home owners AssoCiaiioh ano ievi6w'yoija,i;ed'fo;-any'ieilriit'ons wnrcn may appry.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and St. Lucie Countv 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 forimprove,ments to your property. A Notice of Commencement must be recoi'ded and iosted bn-the fobsitebetore the first inspection. lf.you intend to obtain financing, consult with lender or an attorney beforecommencing work or recordi ur Notice of Commencement.
Revised 07 l15l2014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
CO M P LETE
INITIALS
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRtsropHER AlRNceL
(Name of person acknowledging
ign e of Notary Public- State of Florida )
Personally Known l
Type of ldentification
Commission No,
MY COMMISSION # FF96'1459
ExPlRHsFBbruary 16,2020
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr r-ucre
CFIRISTOPHER P LANGEL
(Na person acknowledging )
ture of Notary Public- State of Florida )
Personally l(nown x ed ldentification
Type of ldentificat
Commission No,lt"lfly$Es,y o rinJ, ounE^pS5: Feb ruarv,ta. zozo