HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/23116 Permit Number:
Building Permit Application
PIanning ond Development Services
Buildinq and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentia I x
Legal Description:
Property Tax lD #:
Site Plan Name:
21430-502-0033-000-8 Lot No.
Blocl< No.
Project Name:
Setbacks Front Back:
--_
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 16 SEEFI 1O KW
WO permrt -apply:
V
T
HVAC
Electric
Gas Tank
Plum bing
l_lcias riping Shutters
Generator
l_l *,noo*s/Doors
T S,prin kle rs tr tr_Roof
Total So. Ft of Construction:So. Ft. of First Floor:r--l
Utilities: I lS"*"r I lseptic Building Height:Cost of Construction.S 5710.00
PERMITAPPLICATION FOR: Mechanical
Address: 4790 RIVE:R OAK LANE
PROPOSED I M PROVEM ENT LOCATION:
CONTRACTOR:OWNER/LESSEE:
Nsms RICHARD OWENS
Address:4790 RIVER OAK LANE
City: FT PIERCE State: FL
ZiP Code: 34981
phone 116. 772-370-8005
Fill in fee simple Tiltle Holder on next paCe ( if rdifferent
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3'108 INDUSTRIAL 31ST STREET
g;1y. FORT PIERCE State:FL
ZiP Code: 34946 7;'y. 772-466-3053
p hone y1g, 7 7 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makels no representation that is srantins a permit will authorize the oermit holderto build the subiect structure
which is in conflict with anv applicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please cons;ult with iour Home Owners A:;sociation and review your deed for any restrictions ldhich may apply.
In consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida Eluilding Codes and St. Lucie County Amendments,
The following buildin5l permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvementsto your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to,obtain financing, consult with lender or an attorney before
com k or recordi Notice of C
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wurr\ ut IeuoIutnH, voul t\oUUe (Jt Lomme ncemen
f,2r )P//Lh, f 7.ur/4
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COU NTY Qf sr rucre
cHRrsroPHER 4uncel CHRISTOPHER P LANGEL
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf srructe
tne
th is
(Name of person acknowledging )
[-\n^rrl
.Attt/.dl,L I/rtj 0,n \/yW,;v illv-tgLr
(Name of person acknowledging )
E..tureof Notary@
Personallv Known x OR Produced ldentification
Type of ldentification Produced
Commission No.nlt6*nq;ff",^'il:r
EXPIRE$ FBbruary'lP'-'v
(Signature of Notary Public- State of Fl6 )
Personally Known x _ OR Produced ldentification
Tvpe of ldentification Produced
Commission No,
Revised laoii'ii''''i-o sl-*?tg?,tjr r aurNry ru, /
(d07 r 108.0r 53 FloridsNotaMiBaice ftnl
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
SUPPLEMENTAL CONSTRUCTION LIEt\J LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Address:
State:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
Phone:
BONDING COMPANY: _Not Applicable
Name: