HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE II\FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.7t1lt16 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL i4982
Phone: (772)l 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION:
Address: 7801 SANTANA AVENUE
LegalDescription:
Property Tax lD #:
Site Plan Name:
1 301 -604-0085-000-0 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 8 KW21 SEER
ldtt
VI
ona o oe perlormed un
l-l c,, r,nr
TN ISTT
permtt -
HVAC
Electric tr Plu mbing
Gas Piping
li prin klers tl
Sh utte rs
Generator
Ttr
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. S 7196.00 Building Height:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRU CTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
J13ms JUDITH WRIGHT
Address: 7801 SANTANA AVE
City:fT PIERCE
zi^ c^a^. 349514.y vvve,
phone 116. 772-466-1 309
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
71o 666s. 34946 72y. 772-466-3053
phone y1o. 772-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or CountV License: CMC035421
issuance of a permit.
will authorize the permit holder to build the subiect structureutes/ oytaws or and covenants that may restrict cjr prohibit suchreview your deed for any restrictions ldhich marfappiV -
by agree that I will, in all respects, perform the work
and St. Lucie County Amendments.
rgoing a full concurrency review: room additions,
rooms and accessory uses to another non-residential use
ement may result in your paying twice for
st be recorded and posted on the jobsite
ult with lender or an ettnrncv hofnrocommencing work or recording vour Notice of commence;ient.
ult with lender or an attorney before
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
LAW INFORMATION:
DESIGNER/ENGtNEEm
Name:
Ad d ress:
!itv, state:Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDE
Name:
Not Applicable BONDING COMPANY: _Not Applicable
Name:
Zip: Phone:
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr r_ucre
Personally Known x OR produced ldentificarron
Type of ldentification proouceo
Commission No.
nowledg re me
_, 20
(Name of person ac
STATE OF FLORIDA
COUNTY Qf srrucre
The forgoing instrvm t was acknowledged before me
CHRISTOPHER P LANGEL
x OR Produced ldentification
ation Produced
this day of
Signature of Contractor
(Name of person acknowledging )
(Signature of NotarV Public- State oJ Fl
t? uv couutssloN # FF961459