HomeMy WebLinkAboutBuilding Permit Application ALL APPUCAB FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �Q
O
Date: � `v Permit Number: �� ® ` .
_,..;.L....., RECEIVED
Building Permit,Application AUG `8 201
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR, Mechanical
'PWo f
Address: 1953 HEADSR CANAL RD
Legal Description:
Property Tax ID#: 2214-800-0001-000-6 Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
. ..,::•.a..... .. r:.:_.•c•r�t: ....:...._•._:..:s-::.,src.:::.:,.,.:�s-••::.::.:::::•�:._. :,..:r.•.r;• .:r.::•P:w.•.;A— -- ':;o,i,cv;,•r.r�Jr;", ::i•;.,,!
F77-.! ,...,r.. ..,...�:-...1 ,r.!........ ... .:.....::. Z.,..._- -.,.. ,..I,..:r,,,.,!, :r:^_s7;:n rl:islai'?;.:_..r..�..,_.x._•'y.`���=�°:3:'` r,=:'ti'=y i.::';X;;:
DETA E�,.d S�
.:7"4=its`.``. ••J..
.i. ,.-...... ..:,.hr v. , t!,, r_.i.:. r., n,,,',•r.r9....n':5, i v,A...',,.........,t I.........r..,.�, ..2 '.h.:. �:�'v �<eE.. ��. .1.{�'!: •:�.L'tJ•'a':
LIKE FOR LIKE CHANGE OUT 4 TON 16 SEER 10 KW
CQ
.NSTR.U :NF�ft.MA CSN CTI.Q.N:f
Additional work toa Orme under tis permit—checka appy:
❑✓ HVAC El Gas Tank ❑Gas Piping _Shutters []Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq, Ft.of First Floor:
Cost of Construction:$ 6301,00 Utilities:E❑Sewer❑Septic Building Height:
:,.;•;.;.,,.•.:,w..,��,..,,....c,r,.:,n•rr.:�::: .,.�.::.,un; r,..r'.•�.,-r•mrl :rcr.' y ;;•ru;.,;7uy,•r,,:.: .:,::,v,:n,n•;. •n>.•ucr.,c.,.:'.+vr•:�"yea:y�•� •;,d;:•:I'n :;y�
i�f"f�t1�
. _._ . . . .. �:C '� 0-TO.R-.-
Name DANIEL SCOTT Name: CHRIS LANGSEL
Address:pO BOX 1136 Company: SEACOAST AIR CONDITIONING
City: PT PIERCE State:_ Address: 310S INDUSTRIAL 31ST STREET
Zip Code: 34954 Rax., City:.FT PIERCE FL State:
Phone No. �� l Zip Code: 34946 Fax: 4663053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR c@AOL.COM
from the Owner listed above) State or County License: CMC035421
if value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
i
..... i,.:•y ""'A"
•t ( ...r�,•:�_. ,�:ur:.2 1.-,_,L.(-t .9[_t:...... _L.L..d.a_V..a .:1il ;;J; - 'r,�si•`•r yrs"•:
:.SU
,.,. 1. ,•_.e .. , 5... ',-, ("; >,..Y•• .l..,:'r •�,iJ°3 °'"ESI•.,, •TtiS:��+'r`` ,a' ;�';• =:;dr:?�;.' :1.
.�� y. i_..t+,. ,t.+'.r _7 .1„,s 1 r: i r•:i.„�3..:•(�. '1r:,..: .,c: .,!'.eiri�`%:!r;�' ,:t:(c ;:` '•'•`•..`"�:'.:....:
s:UPF�Ef�;El�1�Art..eof'��STt�.t;��r r:!�(`� �llf`N:,L�►1�1����.�f���►�r��N:..,..:.-..:.
a,.:::....,.,....:.:.....:.:..:.:... ...........:......
ll .S.
,: ....:-.. vn:-.:.,5.4...r i,...: :._.__.t....r.............. .: ---:?,:mm
•1 t it ..:•,.:'w:
.: .... ..:. .._ .,.....mak.._.fi•,;:..,��...hrt,.-.,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City; State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address;
City: City:
Zip: Phone: Zip: Phone-
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count makes no representation that is granting a permit will authorize the�ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an Covenants that may restrict or prohibit such
structure.Pi'ease consult with your Home Owners Association and review your deed for any restrictions which 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 ill your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commend ng work or recording our Notice of Commencement.
We7s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY&MUCIE COUNTY OF ITLUaE
Thrgoing Inst ent was Cknowledgety
ore me The forgoing Instrument was acknowledged before me
thi day of 20 this 5 day of AU6_.._. ,z0 _by
CHRISTOPHER L kWEL CHRISTQPH$R 6ANGEL
(Name of person acknowledging) (Name of person acknowledging)
I
( gnature of Notary Public-St to of Florida) ( nature of Notary Public-S ate of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced identification
Type of Identification Produced Te f identification Produced
JUS[1NgLHOPRINS�O iN LLY = I � 'uSnML WPJQNMNN Y
Commission No. MYOMUSSiONtFIF OM ion No. 'r7 ( aI �MM195I0N#FF$41
Qdo)
Bonds ftWAvyyPPuuD� F tp 9019
ME
ES
dfl.4d�� Bond Thro fbmtyr pu6Ae Untla
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS