HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/18/16 Permit Number:
Building Permit Application
Plonning ond Development Services
Building qnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED I M PROVEM ENT LOCATION :
Address: 357 BRIDLEWOOD WAY
Legal Description:
Property Tax lD #:
Site Plan Name:
2310-80'1-0038-000-2 Lot No,
Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2,5 TON ,16 SEER 8 KW
ld rt
V
T
tona rs pe t-a ppty:
HVAC
Electric
Gas Tank
Plum bing
l_lcas riping
tl
S h utte rs
Generator
tr
tr_
Windows/Doors
RoofT-l_lsprintcters
Total Sq. Ft of Construction:So. Ft. of First Floor:l-l t-t
Utilities: I lSewer I lSeptic Building Height:Cost of Construction, S s!]qqq
,r I ,r. :. : ,.
OWN ER/LESSEE:CONTRACTOR:
Name DAVID YATES
Address: 357 BRIDLEWOOD WAY
Citv: FT PIERCE State:FL
ZiP Code: 34945 Fax:
phone Ns.772-216-7034
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: 31 08 INDUSTRIAL 31ST STREET
City:FORT PIERCE 5tate:F-
ZiP Code: 34946 p6y. 772-466-3053
phone Ns.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 FORMATION :
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countv makes no reoresentation that is erantine a oermit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owiers AsSociation rules, bvlaws or and covenants that may restrict <jr 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 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 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
commencins work or record ur Notice of Commencement,
V,Lt f
Signature of Contractor
STATE OF FLORIDA
COUNTY Qf sr rucre
(Name of person acknowledging )
ure of NotarV Public- State of Florida )
Known X OR Produced ldentification
of ldentification Prod
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucrr
cHRtsroPHER 4lnlrceL
(Name of person acknowledging )
e of Notary Public- Sta-te of Florida )
Personally Known x OR Produced
Type of ldentification Prod
Commission No.if' A rj, $*.&?i)""' "rruary
1 6,1ui*14.. DANELI.E M WEsunnan..f'A''{r
"" cotdilfuspN # FFe6145s
,' EXpIRES F€bruary 16, 2020
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
MORTGAGE COMPANY:
Name:
_ Not Applicable
Zip: Phone:
DESIGNER/ENGINEER:Not Applicable
State:
Phone:
BONDING COMPANY: _Not Applicable
Zip: Phone:
TITLE HOLDER: _ Not Applicable