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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTED Date. 8/'10/16 Permit Number: Building Permit Application Planning ond Development Services Building ond Code Regulation Division 2300 Virginio Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1518 Commercial Residential x PERMITAPPLICATION FOR: Mechanical PROPOSED IM PROVEM ENT LOCATION : Address: 7400 RESERVE CREEK BLVD Legal Description: Property Tax lD #: Site Plan Name: 3322-60 1 -0036-000-4 Lot No. Block No. Project Name: Setbacks Front Back: __ Right Side: Left Side: LIKE FOR LIKE CHANGEOUT 3 TON 16 SEER 1O KW na rn tsTr permtr -VI HVAC E lect ric T Gas Tank Plu m bing Gas Piping S prin k le rs tr S h utte rs Generator T T- Windows/Doors Roof Total Sq. Ft of Construction:Sq. Ft. of First Floor: Utitities: l_l r.*u, E r"*Cost of Construction. S 3575.00 Building Height: DETAILED DESCRIPTION OF WORK: lf value of construction is 525OO or more, a RECORDED Notice of Commencement is required. CONSTRUCTION I N FORMATION : OWNER/LESSEE:CONTRACTOR: 11316g HOWARD TIPTON Address:7400 RESERVE CREEK BLVD 6;1y. PORT ST LUCIE State: FL 7in cndo' 34986 phone Ns.407-927-1177 E-Mail: Fill in fee simple Title Holder on next pate ( if different from the Owner listed above) Name: CHRISTOPHER P LANGEL Company: SEA COAST AIR CONDITIONING Address: 3108 INDUSTRIAL 31 ST STREET 6;1u. FORT PIERCE State: FL ZiP Code: 34946 p1y. 772-466-3053 phone Ns.772-466-2400 E-Mail: DANISEACOASTAIR@AOL.COM State or Countv License: CMC035421 SUPPLEMENTAL CONSTRUCTION LIEN LAW IN,FORMATION: DESIGNER/ENGINEER: _ Not Applicable Na nre: Ad d ress: City:State: zip:Phone: MORTGAGE COMPANY: Not Aoolicable Name: Address: City:State: zip:Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Ad d ress: City: Ltp'Phone: BONDING COMPANY: Not Aoolicable Name: Add ress: City: zip:Phone: lcertify that no work or installation has commenced priorto the issuance of a permit. St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holderto build the subiect structurewhich is in conflict with anv applicable Home Owners As5ociation rules, bvlaws or and covenants that mav restrict or prohibit suchstructure. 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, 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 recorded and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before work or recordcommenctnor reco ur Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY Qf srrucre cHRtsropHER *rnncer Signature of Contractor/License Holder STATE OF FLORIDA COUNTY Qf srrucre CHRISTOPHER P LANGEL The foreoine instrrR- thisf l) davofT-- (Name of person acknowledging ) -h,,,{ o 0 ['n trit r* \c.,ro,/Y\n/^-- (Name of person acknowledging ) , -ft\;r.p l-fultL r&zu* *Ltn*ffi Personally Known x Tvnc nf ldentific:iinn Prrrl OR - :e oT htonoa I oduced ldentification F-l g n atLire of" trtota ry P u b I i c - State of Florida ) OR Produced ldentification re pd commission r" f' Pqb,l 45 1 ib-1nH eulFer lh, Es E MAN I i': ruv coMMtsstoN # FF9614sg Revised 0711512014 I '/.Yii,ii' lt407r:t08.C153 fbrdat'lotan6o'vic€.@n1 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE CO M P LETE INITIALS