HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/30/16 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5428 STATELY OAKS STREET
Legal Description:
Property Tax lD #:
Site Plan Name:
3404-7 10-0029-000-8 Lot No
Block No,
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
Lpttttjgjl1.*'-'
LIKE FOR LIKE CHANGEOUT
3 TON 1O KW 16 SEER
onal worK to rmed un rs perm rt -apply:
VI HVAC
E lectric
Gas Tank
Plum bing
l_leas eiplng S h utte rs
Generator
l_l *,noo*s/Doors
tr l_lsprintlers T tr Roof
Total Sq, Ft of Construction:So. Ft. of First Floor:
Utilities: l_l r"*"r. E t"*Cost of Construction: $ 5000'00 Building Height:
OWN ER/LESSEE:
113rns PAUL TRABULSY
Address:5428 STATELY OAKS STREET
Citv: FT PIERCE State: FL
ZiP Code: 34981
phone Ns.772-216-2631
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: 3108 INDUSTRIAL 31 ST STREET
6;1y' FORT PIERCE trlStare:' -
ZiP Code: 34946 p1y. 772-466-3053
phone y1s, 77 2-466-2400
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 :
NFORMATION:
DESIGNER/ENGINEER: __ Not Applicable
Name:
Ad d ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
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. Lucie County makes no representation that is grantine a permit will authorize the permit holder to build the subiect structurewhich is in conflict with anV applicable Home Owners Asiociation rules, bvlaws or and covenants that mav restrict dr prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions idhich 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
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 bn the jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney bef6re
commencing work or recordi Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
cHRtsroPHER *rnNcer
(Name of person acknowledging )
ture of Notary Public- State of Florida )
Personallv Known X OR Pr
Type of ldentification
Commission No.
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
Signature of Contractor
mrsston
(Na of person acknowledging )
re of Notary Public- State of Florida )
--'dsEsty
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