HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 6/9/16 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721462-1553 Fax: (772) 462-1.578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 1805 HAZELWOOD DR
Legal Description:
Property Tax lD #:
Site Plan Name:
2433-502-0026-000-5 Lot No.
Block No.
Project Name:
Setbacks Front Ba ck:Right Side: Left Side:
DETAILED D,ESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
5 TON 17 SEER 1O KW
ldrtronal \
Znuo.
unoer tnrs permtt - c a pply:
I rtectri.
Gas Tank
Plum bing
l---lcas Riping Sh utte rs
Generator
l--l *,noo*s/Doors
E l-l sprint<ters tr_tr Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 6399.00
OWNER/LESSEE:CONTRACTOR:
1\3ms NICOLAS HOLBERTON
Address: 1 805 HAZELWOOD
firv' FT PIERCE -l5rate:' -
ZiP Code: 34982 Fax:
phone 11s. 561 -629-6743
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: 3108 INDUSTRIAL 31ST STREET
City:FORT PIERCE 5tate:' -
ZiP Code: 34946 Fax:772-466-3053
phone 11s. 772-466-2400
E-Mait: DANISEACOASTAIR@AOL COM
State or Countv License: CNnC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
LAW INFORMATION
DESIGNER/ENGINEER; _ Not Applicable
Name:
Ad d ress:
City:
zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City State:
Zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name
Add
re:_
ress
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
City:
Zip:P hone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is erantins a permit will authorize the oermit holderto build the subiect structure
which is in conflict with anV dpplicable Home Owiers As6ociation rules, bvlaws or and covenants that mav restrict cjr prohibit such
structure. Piease 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 aregxempt 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
cine work rdi Notice of ComuurilrnencrnH, worK or recorotng vour t\oltce oT Lomme ncemenr r 5
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRrsroPHER +LRrucel
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf srlucre
CHRISTOPHER P LANGEL
(Name of person acknowledging )
A^ oo l,,(,trJo Atft.n)\.
Personally Known x OR Produced
Type of ldentification Produced
Commission No.
ld e ntific at io n
(Signature of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
type of tdentitication ProUuced-
I
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ss on N
Revised 0711512014
'419?l'Si!'
(407,308.c15C
ffitrD rgrJfl.Jary tot 4vzu
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS