HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONXffi*
ALL APPLICABLE
Date.6i18l16
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building permit Application
Plonning qnd Development Servrces
Building ond Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34gg2
Phone: (772) 462-LSS3 Fax: (772) 462_1,518 Commercial Residential x
Address: 9611 KNOLLWOOD LANE
LegalDescription:
Property Tax lD #:
Site Plan Name:
1328-801-001 .1-000-9
Lot No.
Block No.
Project Name:
Setbacks Front Back: ---- Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 16 SEER 1O KW
I0rttonal\
Zruo.
permtt - c apply:
fle tectri.
Gas Tank
Plumbing
l-lcas Riping S h utters
Generator
l-l *,noo*s/DoorsTSprin klers ntl tr Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:n|--tUtilities: I lsewer I lseptic Building Height:
Cost of Construction. 5 6084.00
lf value of construction is 52500 o, rn
DETAILED DESCRIPTION OF WORK:
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
CONSTRUCTION I NFORMATION :
OWNER/LESSEE:CONTRACTOR:
112ms DONNA MACDONALD
Address:26 FREDERTCK
g;1y. CHESTERTOWN State: NY
Zip Code: 12917
P hone 111o. 51 8-494-2241
E-Mail: G65-4414 NEtcHBOR)
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRTSTOPHER p LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3'108 INDUSTRTAL 31ST STREET
City: FORT PIERCE State: FL
ZiP Code: :4e16 p1y. 772-466-3053
phone y1s. 77 2-466-2400
E-Mait: DANISEACOASTATR@AOL.COM
State or County License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit.
st Lucie countv makes no representation that is qlqntjng a permit will a.uthorize the permit holder to build the subiect structurewhich is in conflict with anv dpfliatile Hor;;billqiiA:iqi;ii"niui.t,"rivraws or and covenantiitrat may restrict or prohibit suchstructure' Please consult witn'youi Home ffine;s Association and review'your deed for any restritcrons wnrcn may appty.
ll::l:iq:tttion.of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workIn accordance with the approved plans, the Florida Building codes anJEt. r-uciu countv Amendments.
The following building permit applications are exempt from undergoing a full concurrency reviewl room additions,accessory structures, swimming pools, fences, walls, signs, tcr".n ioors and accessory uies to anotner non-residential use
tice of Commencement may result in your paving twice formencement must be recorded an/ posted onlhe jobsite
financing, consult with lender o/ an attornev beforemmencement. r
Revised 07lt5l
VEGETATION
REVIEW
DESTGNER/ENGil\tEER _ Not Applicable
Phone:
MORTGAGE COMPANy: _ Not Applicable
Name:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
BONDING COMPANy: _Not Applicabte
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr lucre
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification
Signature of Contractor/LicEnle Hildil
STATE OF FLORIDA
COUNTY Qf sr lucre
was acknowledged before me
,20\ bv
CHRISTOPHER P TANGEL
Personally Known x OR produced ldentificatron
Type of ldentification produced
(Name of person acknowledging )
ature of Notary Public- State of Florida )
DANELT&.i{ WEi'EiI
;;;ilh''ggiotr * r r go *sg
FebruarY 16' 2020
(4' DANELLE tEffi)SEMAN
t 'ili
r,,rv corrrMlssioN #'FF961459