HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/1 1/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772\ 462-1578 Commercial Residentia I x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: '1'108'1 S INDIAN RIVER DRIVE
Legal Description:
Property Tax lD #:
Site Plan Name:
3532-503-0020-01 0-6 Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE
4 TON 16 SEER
CHANGEOUT
10 KW
to rmeo u rs permrt -
tr
Gas Tank
Plum bing
[-lcas eiping
l--lsprint<lers tr
Sh utte rs
Ge nerator
Ttr
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. S 5990.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
;13mg WILLIAM (DEREK) BEANS
Address: 1109'1 S INDIAN RIVER DRIVE
I tT\/. r | | rLr\vL
",. t . _State: FL
tin cartc' 34982 Fax:
p ho n e y1o, 7 7 2-21 6-021 5
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Comoanv: SEA COAST AIR CONDITIONING
Address: 31 08 INDUSTRIAL 3'lST STREET
City: FoRT PIERCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone y1s. 772-466-2400
E-Mail: 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 FO RMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 permit will authorize the permit holder to build the subiect strucrure
which is in conflict with anv applicable Home Owners 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, 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
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
commencinq 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
COM PLETE
INITIALS
DESIGNER/ENGINEER:
-_
Not Applicable
Ad d ress:
State:
MORTGAGE COMPANY: _ Not Applicable
Name:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
Zip: Phone:
STATE OF FLORIDA
COUNTY Qf sr rucre
(Name of person acknowledging )
Personallv Known x OR Produced ldentific
Type of ldentification Produced
Commission No.
_ Signature of Owner/ Lessee/Agent
ture of Notary Public- State of Florida )
Signature of Contractor/L
CHRISTOPHER P LANGEL
(Name of person acknowledging )
ally Known x OR Produced ldenti
of ldentification Produced
State of Florida )
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