HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe.6117l18 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOS.ED I M PROVEM ENT LOCATION :
Address: 670'l PASO ROBLES BLVD
Legal Description:
Property Tax lD #:
Site Plan Name:
1 301 -6 't 1-0347 -000-7 Lot No.
Block No.
Proiect Name:
Setbacks Front Back:Right Side: Left Side:
LIKE FOR LIKE
3 TON 16 SEER
CHANGEOUT
10 KW
rt permrr -apply:
Gas Tank
Plumbing
l_le as eiping
T-
Shutters
Generator
II Windows/Doors
Rooftr_Spri n kl ers
Total So. Ft of Construction:Sq. Ft. of First Floor:
Utitities: l-lr"*", [-] t"* Building Height:Cost of Construction. S 5360.00
OWNER/LESSEE:CONTRACTOR:
;\3rns GAY EARLY
Address:6701 PASO ROBLES BLVD
Citv: FT PIERCE State:FL
ZiP Code: 34951 Fax:
p h o n e 116. 7 7 2-828-6894
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
7;p g66g. 34946 pxy. 772-466-3053
phone y6.772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or CountY License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DETAI'LED DESCRlPTION OF WORK:
CONSTRU CTION I N FORMATIO N :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:
7ip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: Not Aoplicable
Name:
Ad d ress:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is grantine a permit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owfrers Asiociation rules, bvlaws or and covenants that mav restrict cir prohibit such
structure. Please 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 I will, 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 on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencins work or recordi ur Notice of Commencement,
Revised 07115120
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledging )
Personally Known X OR Produced ldentification
Tvoe of ldentification Produced
nature of Notary Public- State of Florida )
STATE OF FLORIDA
COUNTY Qf srr-ucte
CHRISTOPHER P LANGEL
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
person acknowledging )
(Sffiature of Notary Public- State of Florida )
l,l::"ffi'u;l:.:',:fJ
MY COMMISSIoN # FF961459
EXPIRES F€bruery 16' 2020
FRONT
COUNTER
ZONING
REVIEW
MANGROVE
REVIEW
SEA TURTLE
REVIEW
VEGETATION
REVIEW