HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE
Date.6/13/16
COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulotion Division
2300 Virginio AvenLle, Fort Pierce FL i4982
Phone: (772) 462-1553 Fax: (772\ 462-1.518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION :
Address: 20 RIO DE PALMAS
Lega I Description:
Property Tax lD #:
Site Plan Name:
1 30't-1 I 1-0001-000-5 Lot No,
Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 10 KW PACKAGE UNIT
IOluonal w
Zruo.
u noer t l'l rsItr
perm rr - c a pptv:
I rt".tri.T
Gas Tank
Plum bing
Gas Piping
Sprin klers tr
Shutters
Generator
TT Windows/Doors
Roof
Total Sq, Ft of Construction:Sq. Ft, of First Floor:
Utilities:l_lr"*urEt"* BuitdingHeight:Cost of Construction. S 4813.00
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
;13ms WYNNE BUILDING
Address: 1 2804 SW 122nd AVE
r^;+',' MIAMIv, ! y .State: FL
ZiP Code: 33186 Fax:
phone pe. ((BILL MARTIN 772-446-8131))
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company:SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
City: FoRT PIERCE State:FL
ZiP Code: x4!46 puy. 772-466-3Q53
phone 116, 772-466-2400
E-Mait : DANISEACOASTAIR@AOL.COM
State or CountY License: CMC035421
CONSTRUCTION I N FORMATION :
SU PPLEM ENTAL CONSTRUCT]ON LI EN LAW I N FORMATION ;
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:
AI tJ.
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
City:State:
Zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BON Dll
3SS
NG
-
COMPANY: _Not Applicable
Name
Addres
City:
Zip:P hone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is grantins a permit will authorize the permit holder to build the subiect structurewhich is in conflict with anV applicable Home Owners Association rules, bvlaws or and covenants that mav restrict dr prohibit suchstructure. Please consult With your Home owners Association and review'your deed for any restrictions r,rihich may a$ply.
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 onlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
_ Signature of Owner/
STATE OF FLORIDA
COUI\TY Qf sr rucre
Lessee/Agent
(Name of person acknowledging )
PersonallV Known x OR Produced ldentification
Type of ldentification Proouceo
Commission No.
ure of Notary Public- State of Florida )
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
was acknowledged before me
,20 by
Known x OR Produced ldentification
of ldentificati
ission No,
(Name of person acknowledging )
(Si!nature of Notary Public- State of FloridJ)
MY coMMt$E6ry # FFs6145e
EXPIRES Febnery 16,2020
f loridaNolarvSBryirs com
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