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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Darc.7119116 Permit Number: Building Permit Application Planning ond Development Services Building ond Code Regulation Division 2300 Virginio Avenue, Fort Pierce FL 34982 Phone: (7721 462-1553 Fax: (772) 462-L578 Commercial Residential x PERMITAPPLICATION FOR: Mechanical PROPOSED IM PROVEM ENT LOCATION : Address: 250 HUBER DRIVE LegalDescription: Propefty Tax lD #: Site Plan Name: 1 408-703-00 1 7-000-5 Lot No Block No. Project Name: Setbacks Front Back: -- Right Side:Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE CHANGEOUT 2 TON 14 SEER 8 KW tona u noer s permtt - c a ppry: Y T HVAC Electric Gas Tank Plumbing l_lcas riptng tr Shutters Generator trtr Windows/Doors RoofTl-l sprint<ters Total Sq. Ft of Construction:Sq. Ft. of First Floor: Utilities: l_lru*", Et"Cost of Construction. S 4181.00 lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. OWN ER/LESSEE:CONTRACTOR: Name Address: 250 HUBER DRIVE City: FT PIERCE State: FL ZiP Code: 34946 Fax: phone pe.772-480-6646 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: CHRIS'IOPHER P LANGEL Company: SEA COAST AIR CONDITIONING Address: 3'108 INDUSTRIAL 31 ST STREET 6;1y. FORT PIERCE State: FL ZiP Code: 34946 V1y. 772-466-3053 phone y1s. 772-466-2400 E-Mait: DANISEACOASTAIR@AOL.CoM State or County License: CMC03542'l CONSTRUCTION I N FORMATION : DESIGNER/ENGINEER: _ Not Applicable Name: Ad d ress: City:State: zip:Phone: MORTGAGE COMPANY: Not Aoolicable Name: Ad d ress: City State: Zip:Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: zip:Phone: BONDING COMPANY: _Not Applicable Name: Address: City: Tip:Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. lucieCounty.makes no representation that_is granting a permit will authorize the permit holderto build the subiect structurewnrcn ls In conlllct wltn any appllcable Home Owners Association rules, bvlaws or and covenants that mav restrict or prohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any restrictions Wfrich mayappty. ln 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 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 for improve,ments to your propertv. A Notice of Commencement must be recoided and losted bnlfre 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 07ll5l REVIEWS FRONT COUNTER ZONING REVIEW SU PERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS U/L"il, I _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY Qf sr rucre (Name of person acknowledging ) tlre of Notary Public- State of Florida ) Personally Known x OR Produc Type of ldentification Commission No. STATE OF FLORIDA COUNTY Qf srr-ucre CHRISTOPHER P LANGEL Signature of Contractor (Name of person acknowledging ) Public- State of Personally Known X Type of ldenti Commission No.