HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONrsif,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.7/5/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL j4982
Phone: (772) 462-1553 Fax: (772) 462-1518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 2311 JO HAYWOOD DR
Legal Description:
Property Tax lD #:
Site Plan Name:
1432-700-0020-000-5 Lot No
Block No.
Project Name:
Setbacks Front Back:
--
Right Side:Left Side:
permrr -ADOIV:
Gas Tank
Plumbing
f---lcas eiping Shutters
Generator
[l*,noo*s/DoorsIl_lsprinkters tr tr Roof
Total Sq. Ft of Construction:So. Ft. of First Floor:
tlUtilities: I lSewer I lSeptic Building Height:Cost of Construction. S 4812.00
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2.5 TON 16 SEER 8 KW
OWNER/LESSEE:CONTRACTOR:
N13mg WILLIE MAE CRENSHAW
Address:2311 JO HAYWOOD DR
City: FT PIERCE State: FL
Zip Code: 34946 p3y.
phone y1s, 772-465-2436
E-Mail:
Fill in fee simple Title Holder on next paCe ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State: FL
7in cnAo. 34946 Fax:t I z-+oo-JU3J
phone 11s. 772-466-2400
E-M ail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
CONSTRUCTION IN FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add
City
zip:
ress:
State:
Phone:
MORTGAGE COMPANV: Not Apolicable
Name:
Add
City
zip:
ress
State:
Phone
FEE SIMPLE TITLE HOLDER: Not Apolicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantine a permit will authorize the permit holderto build the subiect structurewhich is in contlict with any applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions r,rihich may a$ply.
ln 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
improve.ments to your property. A Notice of Commencement must be recorded and posted bnlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney bef6re
ncing work cord i Notice of Commenor re r ce ommencement
Wzr r 752L"- s
STATE OF FLORIDA
COUNTY Qf srrucre
tne
th is
I nsrr
of
cHRtsroPHER *lnnoer
_ Signature of bwner/ Lessee/A-ge
Ing
day
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr lucre
fore
by
CHRISTOPHER P LANGEL
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
PersonallV Known x OR Produced ldentific
Type of ldentification Produce
(Signature of Notary Public- State of Florida )
Personally l(nown x OR Produced ldentification
Type of ldentification Proouceo
Commission N
Revised 07
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS