HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE II\FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.7/8/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (172) 462-1553 Fax: (7721 462 IS1B Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 3819 ST BENEDICTS RD
Lega I Description :
Property Tax lD #:
Site Plan Name:
2434-501-01 09-000-1 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE
3 TON 14 SEEIR
CHANGEOUT
8KW
)0rtronalw
Znuo.
permit - c a pply:
Ie te.tric tr
Gas Tank
Plu mbing
Ttr
Gas Piping
Sprin klers LI
S h utte rs
Generator
TI Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. g 4693,00 Building Height:
lf value of construction is S25OO or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
;1;6ms RONALD BELSCHNER
Address: 3819 ST EIENEDICTS
City: FT PIERCE State: FL
Zip Code: 34982 _ Fax:
phone 11e. 56'l -267-8037
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 gs6s. 34946 7vy. 772-466-3053
phone Ns.772-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:
zip:
State:
_ Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPtE TlTLll HOLDER: _ Not Applicable
Name: .
Ad d 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 repre,sentation that is grarrting a permit will a.uthorize the permit holder to build the subiect structurewhich is in conflict with any.{pplicau,te Home owhers Rssocration rutes, nviiwioiind;;v;;;;t;ih;t mjvliiiriciZl-pr6iiifit sucrrstructure' Please corrsult with iour Home owners Associatioh and ievi6w'yoiiiUeed ioi-any're;iri;ik;ri;Wfii;t'ii.'v rdptv.""
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 and it, Lucie couniy 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
llPl-o_u:,IT!1lo youl property, A Notice of Commencement must kre r"..'i'.led ana poitdi iinif.,";oUtitubefore the first inspection,'lf ydu intend to obtain financing, consult with lender or an attorney Oef6iecomnlencing work or recording your Notice of Commencefrent,
Revised 07115120L4
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srr-ucre
CHRISToPHER ELANGEL
Type of ldentific
Commission No.
e of Notary Public- State of Florida )
MY COMMtSStoN f FF981459
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
,was acknowledged before me
,20 by
CHRISTOPHER P LANGEL
(Name of person acknowledging
Personally Known X OR Produced ldentification
TVpe of ldentification Produced
Commission No.
)
.J
ure of Notary Public- State of Florida )
tYEgEftE
ZONING
REVIEW
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW