HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/16/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building qnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED I M PROVEM E NT LOCATION :
Address: 9427 S OCEAN DRIVE
Legal Description:
Propefty Tax lD #:
Site Plan Name:
3535-333-0001 -890-7 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION O.F WORK:
LIKE FOR LIKE CHANGEOUT
2 TON 14 SEER 5 KW
worK to tntstrtr
permtr -a pply:
VI HVAC
Electric
Gas Tank
Plum bing
Gas Piping
Sp ri n kl ers T
S h utte rs
Generator
l-l *,noo*s/Doors
tr_T Roof
Total Sq. Ft of Construction:Sq, Ft. of First Floor:
Utilities: l--lr"*", E t"*Cost of Construction. S 4530.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
113mg EUGENIO GALLARDO
Address: PO BOX 720625
City: MIAMI State: FL
ZiP Code: 33172 Fax:
phone 11s. 305-61 3-9009
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31st STREET
City: FoRT PIERCE State:FL
ZiP Code: 34946 p1y. 772-466-3053
p hone 11s. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03542'1
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City
Zip:
State:
Phone:
MORTGAGE COMPANY: Not Aoolicable
Name:
Add
City
zip:
ress:
State:
Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
7in,Ltv.Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
I cenify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is erantine a permit will authorize the oermit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owhers AsSociation rules. bvlaws or and covenants that mav restrict <ir orohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions raihich 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
Revised 0711512014
of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srr-ucre
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced ldentific
Type of ldentification Produced
Commission No.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf srrucre
The forgoing instrum was acl5nowledged before me
this day of
(Name of person acknowledging )
of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
mmission No.
o-ntleute f FF961459
ilSdF ExPrREs
ZONING
REVIEW
PLANS
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW