HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/10/16 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 11 VERDE VISTA
LegalDescription:
Propefty Tax lD #:
Site Plan Name:
1 301 - 1 1 '1 -0001 -000-5 Lot No
Block No.
Project Name:
Setbacks Front Back: Rieht Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW PACKAGE UNIT
work to permrt -
V
T
HVAC
E lect ric
Gas Tank
Plum bing
l-lcas eiping Sh utte rs
Generato r
l_l *'noo*s/Doors
tr_Sprinklers tr I Roof
Total So. Ft of Construction:Sq, Ft, of First Floor:
Utitities:l-lr"*"rEt.* BuildingHeight:Cost of Construction. S 4123.00
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31 ST STREET
City:FORT PIERCE State: FL
ZiP Code: 34946 pzy' 772-466-3053
phone 1\s. 77 2-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
OWN ER/LESSEE:CONTRACTOR:
;13mg WYNNE BUILDING ((KLINE BLACKMON))
Address:'12804 SE 122nd AVE
6;1y' MIAMI State:FL
ZiP Code: 33186
p hone 11e. ((BLACKMON 772-332-7 87 2))
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip: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:
Add ress:
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 permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owfrers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please 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 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
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 Commencement,
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledgine )
Personallv Known X OR Produced ldentification
Type of ldentification Produced
Commission No.
_ Signature of Owner/ Lessee/Agent
cHRtsroPHER *Lnlcer
Notary Pubfic- State of Florida )
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucrr
The forgoing instr
this l0 day of
CHRISTOPHER P LANGEL
Known X OR Produced ldentification
ification Produced
person acknowledging
atu-re of Notary Public- State of Florida )
l6,i*'tt'o*
MY 0OMMISSIoN # FF961459