HomeMy WebLinkAboutBuilding Permit Application 2l::
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.7112116 Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721462-1.553 Fax: (712) 462-LSj8 Commercial Residential x
PERMIT APPLICATION FOR: Mechanir:al
PROPOSED IM PROVEM ENT LOCATIOITI :
Address: 241 1 SHAMROCK STREET
Legal Description:
Property Tax lD #:
Site Plan Name:
2421-601-001 9-000-0 Lot No
Block No,
Project Name:
Setbacks Front Back:Right Side:Left Side:
LIKE FOR LIKE
3 TON 14 SEER
CHANGEOUT
8KW
V!
permtt - c apply:
HVAC
Electric
Gas Tank
Plumbing
l-lcas eiping Shutte rs
Generator
l-l *,noo*s/DoorsrS prin klers tr tr Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:t-t t-tUtilities: I lSewer I lseptic Building Height:Cost of Construction. S 4815.00
lf value of construction is S25OO or more, a RECORDED Notice of Commencement is required.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
J13ms RESIDENT
Address: 241 1 SHAMROCK STREET
City: FT PIERCE
Zip Code: 34982
phone y1s. 77 2-461 -7 81 2
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 3'lST STREET
City: I!Nl?IERCE State; FL
ZiP Code: 34946 Su*' 772-466-3053
phone Ns, 772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a oermit.
St,, Lucie.County.makes no representatign that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls In conlllct wltn any applicable Home Owners Association rules, bvlaws or and covenants that maV restrict dr prohibit suchstructure. Please consult With'your Home owners AssoCiation ana fevi6w'yoijiJeert ioiihv reiiriitiririsiiriiit'iniv idpiv.""
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida lluilding 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 rcioms and accessorv uses to another non-residential use
commencing work or recording your Noticerof Commencement.
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice forimprovements to your property. A Notice of Commencement must be recol'ded and iosted bn-the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attornev before
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srr-ucre
cHRtsropHER *rerucer
acknowledging )
ure of Notary Public- State df Florida )
Personally Known x _ OR Produced ldentification
Type of ldentification Produced
Commission No
STATE OF FLORIDA
COUNTY Qf sr rucre
fore me
oy
CHRISTOPHER P LANGEL
Personally Known x OR Produced ldent
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Revised 07l15l20l
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DAIh
COMPLETE
INITIALS
DESTGNER/ENGINEER: _ Not ApFtia;Ete-
State:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
Zip: Phone:
Add ress:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone: