HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 6/29116 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (172) 462-t553 Fax: (772\ 462-1518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5504 PALEO PINES CIRCLE
Legal Description:
Property Tax lD #:
Site Plan Name:
1 31 2-500-00 47 -000-7 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETA]LED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER 8 KW
onalworK to s permtt - c apolv:
V
E
HVAC
Electric
Gas Tank
Plumbing
Icas eiping
tr
Shutters
Generator
Tr Windows/Doors
Rooftrl_lsprintters
Total Sq, Ft of Construction:Sq. Ft. of First Floor:
tttlUtilities: LJ Sewer I lSeptic Building Height:Cost of Construction: $ q463.00
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRU CTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
Name H WAYNE ROUSE
Address:5504 PALEO PINES CIRCLE
City: FT PIERCE State: FL
7;p 666s. 34951
phone 11o. 772-468-1 836
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
6;1y. FORT PIERCE
7;p 6e6s' 34946 pzy' 772-466-3053
phone 11s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Cou nty License: -9y993513]
SU PPLEM ENTAL CONSTRU CTION LI EN LAW I N FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add resS:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
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.County makes no representation that is grantinR a permit will authorize the permit holder to build the subiect structurewhich is in contlict with any 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 rdhich may a$ply.
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 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
improve.ments to your property. A Notice of Commencement must be recoided and posted bnlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencins work or recordin Notice of Commencement,
Revised 0711
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
O&uu V VZ,L
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledging )
re of Notarv Public- State
Personally Known X OR Produced ldentification
Type of ldentification Pr
Commission No,
Signature of Contractor
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Prbduced
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