HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE II\IFO MUST BE COMPLETED FOR APPLTCATION TO BE ACCEPTED
Date,8/23116 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICIATION FOR: Mechanicat
PROPOSED IM F,ROVEM ENT LOCATION :
Address: 1915 S 33rd ST
Legal Description:
Property Tax lD #: :,417-702-0042-000-7 Lot No.
Site Plan Name:Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 TON 5 KW 16 SEER
onal wor ts permrt -a oolv:
V
T
HVAC
Electric
Gas Tank
Plumbing
as Piping
T
S h utte rs
Generator
l_l *,noo*s/Doorstrl_lsprintters tr
Total Sq. Ft of Construction:Sq. Ft. of First
Utilities: l---lr"*",
Floor:
Et"*Cost of Construction. S 4200.00 Building Height:
OWNER/LESSEE:CONTRACTOR:
J13ms VIOLA KAY RODGERS
Address:1915 S 33rd ST
City: FT PIERCE State: FL
Zip Code: 34947 _ Fax:
p ho n e y1s, 7 7 2-57 9- 0829
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: CHRISIOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State: FL
ZiP Code: 34946 p2y. 772-466-3053
p hone y1s. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION IN FORMATION :
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City:State:
zip:Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Add ress:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St.. LucieCounty.makes no representation that is granting a permit will authorize the permit holderto build the subiect strucrurewnlch ls In contlict with any applicable Home Owners As5ociation rules, bvlaws or and covenants that mav restrict cjr orohibit suchstructure. Please consult With your Home Owners Association and review'your deed foi any iestri-tions wfrich miV rdplv -
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 Countv 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.merts to your property, A Notice of Commencement must be recol'ded and iosted bn-ifre jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney before
mencing work or recording vour Notice of Comcommenctng worK or recorotng vour t\ottce o mencement
STATE OF FLORIDA
COUNTY Qf sr rucrr:
cHRtsroPHER 4rnncer
_ Signature of Owner/ Lessee/Agent Signature of Contractor
STATE OF FLORIDA
COUNTY Qf sr r-ucre
ense Hol
ent was.acknowledged before me
,2ol by
CHRISTOPHER P LANGEL
(Name of person acknowledging )
t /v'tl.a a
(Name of person acknowledging )
-&"dil KI'J oArvrgr\-
(Signature of Notary
Personally Known x
Type of ldentificatio,E
Public- State of Flori q fSignature of Notary Public- Siate of ilorida )
Personallv Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
ftueseHf
Commission No.
Revised 07 20 ,,..i'Xill.l. ,.fef'-+t* =-*
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS