HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 7113116 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721462-7553 Fax: (172) 462-1.578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanic;al
PROPOSED IM PROVEM ENT LOCATIOI,I :
Address: 222 MARINA DR
Legal Description:
Property Tax lD #:
Site Plan Name:
1425-701-01 1 6-000-6 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 1O KW 14 SEER
onal worK to rmeo un tn tsTtr
permtt -a pply:
V
T
HVAC
E lect ric
Gas Tank
Plumbing
Gas Piping
Sprin klers tltl
S h utte rs
Generator
l_l *,noo*s/DoorstrTRoof
Total Sq. Ft of Construction:
Cost of Construction' S 4487.00 Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
N3ms JEAN VERDONCK
Address: 860 CH- SAINT-HENRI
g;1y. SAINTE-MARTHE
Zip Code: JDP 1 WD
phone 11e. 409-459-4281
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
City; l9xlllERCP State: FL
Zip Code: 14:46 pay' 772-466-3053
phone 11s. 772-466-2400
E-M ail: DANISEACOASTAI R@AOL.COM
State or Countv License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit,
St,. Lucie.County.makes no representation that is granting a permit will authorize the permit holderto build the subiect strucrurewnlcn ls In conlllct wltn any applicable Home Owners Association rules, bylaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With your Home owners Association and review'youi oeeC ioilny iesEiCticjns rnitrii6-miv idpiv ^'
In 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 Countv 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 forlmprovements to your property. A Notice of Commencement must be recorded and posted bnlhe jobsite
betore the first inspection. lf you intend to obtain financing, consult with lender or an attorney beforecommencing work or recording your Notice of Commencemenr,W4 f %rz^
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
t was acknowledged before me
,2 by
CHRISTOPHER P LANGEL
Revised
(Name of person acknowledging )
Personally l(nown
Type of ldentific
Commission No.
ure of Notary PubliL- State of Florida )
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DA TE
COMPLETE
INITIALS
DESIGNER/ENGINEER: _ Not Applicab
Name:
State:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
Zip: Phone:
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
(Name of person acknowledging )
ignature of Notary
Personally Known x
Type of ldentification
Public- State of Florida )
OR Produced ldent
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