HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, 9/6/16 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772lr 462-L553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PRO POSED IM PROVEM ENT LOCATION :
Address: 6504 COQUINA AVENUE
Legal Description:
Propefty Tax lD #:
Site Plan Name:
1301-611-0276-000-8 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW
ormeo u perm rI - c appry:
Gas Tank
Plumbing
Itr
Gas Piping
Sprin kle rs
Shutters
Generator
l-l *,noo*s/Doors
tr_T T Roof
Total So. Ft of Construction:
Cost of Construction' S 5800.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
113mg KLINE BLACKMON
Address: 6504 COQUINA AVENUE
Citv: FT PIERCE State: FL
ZiP Code: 34951 Fax:
phone X1o. 77 2-460-2531
E-Mail:
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 31ST STREET
6;gy' FORT PIERCE State: FL
ZiP Code: 34946 72y. 772-466-3053
phone Ns.772-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03542'1
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FOR MATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add
City
zip:
ress
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:
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 srantine a permit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owiers 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 Which 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 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 on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement,
Revised 07l15l20l4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P E RVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
IJAIL
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY @f sr ructe
(Name of person acknowledging )
re of Notary
Personally Known !OR
Type of ldentificatio
Commission No.
_ Signature of Owner/ Lessee/Agent
Ltarr, f
STATE OF FLORIDA
COUNTY Qf sr rucre
acknowl fore me
-'
oY
CHRISTOPHER P LANGEL
Type of ldenti
gnature of Contractor
(Name of person acknowledging )
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