HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe.7119116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 940 MEADOWOOD DR#202
Legal Description:
Property Tax lD #:
Site Plan Name:
1327 -703-0020-000- 1 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3.5 TON 14 SEER 1O KW
wor tn tsTT
permrr - c apprv:
Vr HVAC
Electric tr
Gas Tank
Plumbing
Gas Piping
S p rin klers tr
Shutters
Generator
trtr
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction' S 5323.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
Name JOHN D KRISOR JR Name: CHRISTOPHER P LANGEL
Address:53540 LAMAR ST Company: SEA COAST AIR CONDITIONING
611y. SOUTH BEND State:lN I Rddr"rr' 3l0S lNDUSTRlAL 31ST STREET
Zip Code: 46637 p3x.
p hone y1s. 57 4-7 07 -2052
6;1y' FORT PIERCE )rare:' -
ZiP Code: 34946 p6y. 772-466-3053
E-Mail:p hone 116. 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different I f-Vail: DANISEACOASTAIR@AOL.COM
from the Owner listed above)State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicabte
Name:
Ad d ress:
City:
zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
City State:
zip:Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Ad d ress:
City:
Zip:Phone:
BONDING COMPANY: Not Aoolicable
Name:
Add ress:
City:
Phone:
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 holder to build the subiect strucrurewnlcn ls In conlllct wltn any appltcable Home Owners Association rules, bvlaws or and covenants that mav restrict <jr prohibit suchstructure. Please consult With your Home owners Association and revlew'youi OeeO foi any iestriCtio-ns uitrich miv adpiv.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the worl<
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 fullconcurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessorV 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 property. A Notice of Commencement must be recoided and iosted bnlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement,wl s
STATE OF FLORIDA
COUNTY Qf srrucrr
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
The
this
ing instru dge re me
20day of
cHRtsropHER *retoel
_ Signature of
(Name of person acknowledging )
re of Notary Public-
Personally Kno
Type of ldent
Commission No.
person acknowledging )
ure of NotarV Public- State of Flor
Personally Kno
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS