HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc, 7128116 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (712) 462-L553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 10637 PINE CONE LANE
Legal Description:
Property Tax lD #:
Site Plan Name:
2321-801-0021-000-4 Lot No
Block No.
Project Name:
Setbacks Front Back: _-_ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE: CHANGEOUT
4 TON 16 SEER 1O KW
alwor u n0er a pptv:
V
T
HVAC
Electric
Gas Tank
Plum bing
l-lcas Riping Sh utte rs
Generator
trT Windows/Doors
RoofTl-l sprint<lers T
Total Sq. Ft of Construction:So, Ft, of First Floor:
Ut t es:l-]r"*", Et"*Cost of Construction' S 5081.00 Building Height:
CONTRACTOR:
Name: CHRISI-OPHER P LANGEL
Company:SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31 ST STREET
FORT PIERCE State: FL
ZiP Code: 34946 p6y. 772-466-3053
phone 11s. 772-466-2400
E-Mail : DANISEACOASTAI R@AOL.COM
State or Countv License: CMC035421
OWN ER/LESSEE:
113 ms MARVIN/DEIIRDRE DAUGHER IY
Address: 10637 PINE CONE LANE
City: FT PIERCE State: FL
ZiP Code: 34945
p ho ne y1s. 7 7 2-21 6-37 31
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
DESIGNER/ENGINIEER: _ Not Applicable
Name:
Ad d ress:
City:
7in,LIY'
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv applicable Home Owders AsSociation rules, bvlaws or and covenantsthat mav restrict dr prohibit such
structure. Please consult With your Home Owners Association and review'your deed for any restrictions uihich may apply,
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 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
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 Commencemenr.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
cHRISToPHER +LANGEL
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x_ OR Produced ldentification
Tvoe of ldentification Produced
Commission No.
Sisnature of Contractor
STATE OF FLORIDA
COUNTY Qf sr rucrr
Personally Known x
of ldentification
Public- State of Florida )
OR Produced ldentification
(Name of person acknowledging )
illm*::'{::lt":i': tvtY COUlvtlSSlON # FF9614
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