HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 8t22t16 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-L553 Fax: (772\ 462-1578 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
3403-502-0232-040-4 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
onat wor permit - c a pplv:
Vr HVAC
Electric
Gas Tank
Plu m bing
l_leas elping
t--ltl
S h utte rs
Generator
Tr Windows/Doors
RoofTl-l sprtnkters
Total Sq, Ft of Construction:Sq. Ft. of First
Utilities: l-l r"*u,
Floor:
Et"*Cost of Construction. S 4975.00 Building Height:
PERMITAPPLICATION FOR: Mechanical
Address: 1'199 COUNTRY GARDENS LANE
PROPOSED I M PROVEM ENT LOCATION :
OWN ER/LESSEE:CONTRACTOR:
N;6 m g KATHLEEN SULLIVAN
Address: 1'199 COUNTRY GARDENS LANE
City:FT PIERCE State: FL
ZiP Code: 34982 Fax:
p hone y1s. 77 2-618-5528
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Com pany:SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 3'lST STREET
6;1y. FORT PIERCE trlSrate:' -
ZiP Code: 34946 p2^. 772-466-3053
phone y1s, 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC03542'1
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CON STRUCTION I N FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City State:
7ip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
7ip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is qrantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv applicable Home Owners As5ociation rules, bvlaws or and covenants that mav restrict <ir orohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions r,rihich may apply.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments,
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Revised 07l15l
_ Signature of Owner/ Lessee/
STATE OF FLORIDA
COUNTY Qp srr-ucre
PersonallV Known X OR Produced ldentificati
Tvpe of ldentification Produced
Commission No.
ledge re
,20
(Name of person acknowledging )
gnature of Notary State of Florida )
Signatu re
STATE OF FLORIDA
COUNTY Qf sr rucre
knowledeed before me
,2d bv
CHRISTOPHER P LANGEL
Personally Known X OR Produced ldentification
Tvpe of ldentification Produced
Commission No.
(Name of person acknowledging )
(Slgnature of Notary Public- State of Florida )
1.rcr r'iir$_9J!
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS