HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code R'egulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLIC:ATION FOR: Mechanical
PROPOSED I M PROVEM ENT LOCATION :
Ad d ress:
Legal Description:
iPropefty Tax lD #: I Lot No.
Site Plan Name:Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
D,ETAI.LED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 trn tq.Su/ tO u^:
WO to be pefiormed undert--lI I Gas Tank
rs permrt -a ppry:
V
T
HVAC
Electric
l-leas eiping Shutters
Generator
l-l *,noo*s/Doors
-Plum bing Sprin klers -T Roof
Total Sq. Ft of Construction:
Cost of construction' S Lf Y 33. D1}
OWNER/LESSEE:CONTRACTOR:
Name
Addre
City: State:\
Zip Code: _ Fax:
Phone No. U
E-Mail:
Fill in fee simple Title l-[older on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Companv: SEA COAST AIR CONDITIONING
Address: 31 08 INDUSTRIAL 31ST STREET
City:FORT PIERCE State: FL
ZiP Code: 34946 p3y. 772-466-3053
phone 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 ]\ 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:
Add ress:
City:Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
City:
zip:Phone:
I certify that no work or installation has commenced prior to lhe issuance of a permit.
St. Lucie Countv makes no representation that is erantins a odrmit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult With your Home Owners Association and review your deed for any restrictions ltihich 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 Cpdes 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, scrieen 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 Commpncement 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
commencing work or recordi r Notice of Commencement,
9l'r,*,
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
cknowledg re me' ,2F
Personally Known x _ OR Produced lden
Type of ldentification Pr
(Name of person acknowledging )
of Notary Public- State of Florida )
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr r-uctr
ent was pcknowledged before me
CHRISTOPHER P LANGEL
(Name of person acknowledging )
OR Produced ldentification
(Sea l)
(Signature of Notary ic- State of Florida )
107):J08.0153 _Florid.rNotarysc,vir€mnr
k-:;H,*T*"*l:j":l
Revised 07l15l2014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS