HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.6/13/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL j4982
Phone: (772) 462-1553 Fax: (172\ 462-1.578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
P.ROPOSED I M PROVEMENT LOCATION :
Address: '12038 RIVERBEND RD
Legal Description:
Property Tax lD #:
Site Plan Name:
4422-502-001 4-000-0 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 TON .16 SEER 5 KW
nalworK to u noer tn tsTtr
permrt -
V
T
HVAC
E lectric tr
Gas Tank
Plumbing
Gas Piping
S prin kle rs
rftl
Sh utte rs
Generator
trtr
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. S 4923.00 Building Height:
OWNER/LESSEE:CONTRACTOR:
N3ms JUSTIN POMA
Address: 12038 RIVERBEND RD
g;1y' PORT ST LUCIE State: FL
7in caAo' 34984 Fax:
p h o ne y1 s, 7 7 2-263-0260
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: 3'108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE state: I L
7ip 6s6s' 34946 p2y. 772-466-3053
phone 11s. 77 2-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION IN FORMATION :
SUPPLEM ENTAL CONSTRU CTION
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:7ip: 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 strucrurewnlcn ls In conlllct wlth any applicable Home Owners AsSoclation rules, bylaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With'your Home owners Associatioh-and ievi6w'yoLiiueeo ioi-a-ny ieilritiicjriiilfiiitr-miv idpiv,""
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 Amenflments.
The following building permit applications are exempt from undergoing a full concurrency rev]iew: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses tb another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may r{sult in your paying twice for
improve,ments to your property, A Notice ot Commencement must be recoi'O{O and iosted bn-the jobsite
before the first inspection. lf you intend to obtain financing, consult with lendfr or an attorney before
commencins work or recordi r Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
0/ta P
_ Signature of Owner/
STATE OF FLORIDA
COUNTY Qf sr lucre
cHRtsroPHER 4r_Rncrl
Lessee/Agent
(Name of person acknowledeing )
Personally Known x OR
Type of ldentification
Commission No.
e of Flor
Vtar( Y
Signature of Contractor
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
Personally Known x OR Produced ldentification
#:::-"':#,i! ntv coullrssl(TsE5tfesI 45e
Ks--EXFRes tjoirnierv t6. zozo
(Name of person acknowledging )
(Si ure oTNotary ate of Florida )