HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe.7l11116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulation Division
2 j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax: (772) 462-1,518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED I M PROVEM ENT LOCATI Olrl :
Address: 5047 N 41A 705
Legal Description:
Property Tax lD #:
Site Plan Name:
1414-61 0-0035-000-1 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3,3 TON 13.7 EER HEAT PUMP SYSTEM
l0rtronal work to
Zruo.
th tsIT
permit -
Gas Tank
P lu m bing
Gas Piping
S prin klers
Sh utte rs
Generator
l-l *,noo*s/Doors
I rtectric tr_tr tr Roof
Total Sq. Ft of Construction:
Cost of Construction. g 5385.00 Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
J13ms EUGENE DUFFY ll
Address:5047 NAlA 705
City: FT PIERCE State: FL
ZiP Code: 34949 Fax:
phone pe.772-801-5999
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name; CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE 5IATC: I L
ZiP Code: 34946 5.2y. 772-466-3053
phone y6.772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
CONSTRUCTION I N FORMATION :
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is srantins a permit will authorize the oermit holder to build the subiect structurewhich is in conflict with any dpplicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions raihich may a$ply,
In consideration of the granting of this requested permit, I do 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
Revised 07ll5l20
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr r-ucre
(Name4f person acknowledeing )
re of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
Commission No,
cHRtsroPHER AIRNcrr
Signature of Contractor/License
STATE OF FLORIDA
COUNTY Qf srrucre
CHRISTOPHER P LANGEL
acknowledging )
(Si ure of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
l^?H;;di"*-:'"'::*';;j,.a..,*.0*rl *l"i.H I.r1''f.rfi SEMAN
ExPlREs FebruarY !r' Jll;ill
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
ENGINEER: _ Not Applicable
Add ress:
MORTGAGE COMPANY: _ Not Applicable
Name:
State:
7ip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone: