HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.7/18/16 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Re-gulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (172) 462-:1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Mechanic;al
PROPOSED IM PROVEM ENT LOCATION :
Address: 7 GRANDF: CAMINO COURT
Residentia I x
LegalDescription:
Property Tax lD #:
Site Plan Name:
1301-11'l-0001-000-5 Lot No
Block No.
Project Name:
Setbacks Front Back: __ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW HEAT PUMP PACKAGE UNIT
)olltonat wo
Zruo.
pr3rm tI -a pplv:
Gas Tank
Plum bing
Ttr
Gas Piping
Sprinklers
Sh utte rs
Generato r
[l *,noo*s/DoorsI r,"..,.,.tr_tr tr Roof
Total Sq. Ft of Construction:Sq, Ft. of First Floor:
Utitities: l_l ru*", [-] t"* Buitding Height:Cost of Construction' S 7150.00
CONTRACTOR:
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 3'1 ST STREET
FORT PIERCE trlState: I L
ZiP Code: 34946 psx. 772-466-3053
phone Ns,772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
OWNER/LESSEE:
N3mg WYNNE BUILDING
Address: 12804 SW 122nd AVE
6;1y. MIAMI State:FL
ZiP Code: X3186
phone pe. (((HANK FARRO 772-468-6415)))
Fill in fee simple Title Holder on next paBe ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PROPOSED IM PROVEM ENT LOCATION :
CONSTRUCTION I N FOR MATION :
SU PPLE M ENTAL CONSTRUCTION LI ENI LAW I N FO RMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
zip:Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:
7ip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name
SSAddre
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
I certify that no work or installation has commencecl prior to the issuance of a permit.
St. Lucie Countv makes no representation that is erantins a oermit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult With your Home Owners Association and review'your deed for any restrictions rdhich may apply.
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 lfo OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property, A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Revised 07l15l20l
1? \-/4/tn
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srructe
(Name of person acknowledging )
ture of Notary Public- Stat5of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
STATE OF FLORIDA
COUNTY Qf srrucre
rumept was acknowledged before me
CHRISTOPHER P LANGEL
Signature of Contractor
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
Tvpe of ldentification Produced
REVIEWS SU P ERVISOR
REVIEW
FRONT
COUNTER
VEGETATION
REVIEW
MANGROVE
REVIEW
INITIALS