HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.711912016 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Requlation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-L553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION :
Address: 911 WATERS EDGE WAY
Legal Description:
Property Tax lD #:
Site Plan Name:
1423-504-001 2-000-6 Lot No.
Block No,
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTI,ON OF WORK:
LIKE FOR LIKE CHANGEOUT
2 TON 14 SEER 5 KW
nal worK to tn tsItr
permrt - c ao0tv:
V!HVAC
E lect ric T-
Gas Tank
Plum bing
Gas Piping
Sprin klers
Shutters
Generator
Itr
Windows/Doors
Roof
Total Sq. Ft of Construction:Sq. Ft. of First
Utilities: l_l r"*"r.
Floor:
Et"*Cost of Construction, g 4187.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
Nsmg CRYSTAL ULLESTAD
Address:320 HARBOR DR
City: OLD HICKORY State: TN
ZiP Code: 37138 Fax:
phone pe.772-718-1803
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 31 ST STREET
City: FORT PIERCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone Ns,772-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
DESIGNER/ENGINEER: Not Applicable
Name:
Ad d ress:
City
Zip:
State:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
7in,Phone:
BONDING COMPANY: Not Apolicable
Name:
Add ress:
City:
zip:P ho ne:
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 contlict with any applicable Home Owners As5ociation rules, bvlaws or and covenants that mav restrict 6r prohibit suchstructure. Please consult With your Home owners Association and review'youi OeeO toi any ieslriCtions r,,ifriih-miv .fpiv. -
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 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 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 recordi ur Notice of Commencement.
Revised 07l15l20l4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
12
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
CHRISTOPHER FTLANGEL
(Name of person acknowledging
ic- State oT Florida )
Personally Known x OR Produced ldenti
Type of ldentification P
Commission No.
STATE OF FLORIDA
COUNTY Qf sr rucrr
CHRISTOPHER P LANGEL
Signature of Contractor
person acknowledging )
ure of Notary Public- State of Florida )
sonally Known x OR Produced ldentification
pe of ldentification Produced
00tulMtsstt-if'l # F r:061 459
XFlltlES Fcbruorv 1(i.