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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 6/30/16 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulotion Division 2j00 Virginio Avenue, Fort pierce FL 34992 Phone: (772lr 462-1553 Fax: (7721 462-1.578 Commercial Re:sidential x LegalDescription: Property Tax lD #: Site Plan Name: 1423-s06-01 08-000-2 Lot No. Block No. Project Name: Setbacks Front LIKE FOR LIKE CHANGEOUT 3 5 TON 16 SEER 1O KW onalwo rmeo un rs perm it -Vr HVAC E lectric Gas Tank Plumbing l-lc;as Riping Shutte rs Generator [] *,noo*s/DoorsTl-l s;prinkters L_l []*"", Total Sq. Ft of Construction:Sq. Ft. of First Floor:nnUtilities: I lsewer I lseptic Building Height: Cost of Construction. S 6473.00 |fva|ueofconstructionis$250oor'or",,REconoeoruot@ PERMIT APPLICATION FOR: Mechanical PROPOSED IM PROVEMENT LOCATION : Address: 4180 N A'lA DETAILED DESCRIPTION OF WORK: CONSTRUCTION I N FORMATION : OWNER/LESSEE: ;13ms GORDON A pHAtL DECL OF TRUST Address:1967 NW PALMETTO TERR City: STUART ZiP Code: 34994 72y. phone 116. 772-466-3589 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: CHRISTOPHER p L/\NGEL Company: SEA COAST AIR CONDITIONING Address: 3108 INDUSTR}\L 31ST STREET 6;1y. FORT PIERCE ZiP Code: 34P46 p1y. 772-466-3053 phone 51s. 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 repre,sentation that is 8!antjng a permit will a,uthorize the permit holder to build the subiect strucrurewhich is in conflict with any.ipplicab.le Hof Jowfiers As5ociation rules, byiiinifoa;nd,;;v;;;ii:iihat mav restrict cjr prohibit suchstructure, Please consult With'your uome owneis Aslociliioi''a"ria revi6ri'voiii a"e"o i"iffi';;riri:ti"*d;i^iriii1.',li r'v".dpiv."" In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes rnd it. Lr.iu County Amendrnents. 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 i:Pj""^":fl,"X:'.1"^^v^"^T_Pl-"q:ilf..4 f gli:: "l,c:lmencement must be ie.oio.o-'nJ 6;;iJJ?,iiii,"'loniit.before the first inipection.'lf ydu intend toobtain iinr.iirE, ionsult with lender ;r;fi';ii;;;; il.;j;;commencing work or recording your Notice of commence[ient, Revised 07l15l DESIGNER/ENGtNEER: _Not Apltrca6b- Name: Add ress: MORTGAGE COMPANY: Not Applicable Name: Ad d ress: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY Qf srrucre cHRtsropHER 4rntcer of person acknowledging ) STATE OF FLOR]DA COUNTY Qf sr rucrs Signature of Contractor/Lrcense Personally Known X OR Produced ldentification Type of ldentification Produced Commission (Name of person acknowledging Bnature of Notary Public- State of Florida ) (Signature of Notary Public- St Personally Known x OR produced ldentification Type of ldentification produced # FF961459 ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW INITIALS