HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO
Date, 9/7/'16
BE ACCEPTED
Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-'.1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED I M PROVEM E NT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
3402-605-01 06-000-3 Lot No
Block No.
Project Name:
Setbacks Front
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
5 TON 1O KW 15 SEER HEAT PUMP SYSTEM
WO permrt -
V
T
HVAC
Electric
Gas Tank
Plum bing
l_lcas Riping Shutters
Generator
[-l *,noo*s/Doors
tr S prin kle rs I-T Roof
Total Sq, Ft of Construction:
Cost of Construction. S 6921 00
So. Ft. of First Floor:-lUtilities:l lS"*"tl lseptic Building Height:
Address: 403 GREGORY STREET
OWN ER/LESSEE:CONTRACTOR:
N3 rns JUAN ITA CARPENTER
Address: 403 GREGORY STREET
State: FLCity: FT PIERCE
7in t^nAo. 34982 Fax:
phone ps.772-468-9909
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 3'1 ST STREET
City:FORT PIERCE State: FL
ZiP Code: 34946 p6y. 772-466-3053
phone Ns.772-466-2400
E-Mail: 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 FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add
City
zip:
ress:
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 Countv makes no representation that is srantins a permit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owhers Asiociation rules. bvlaws or and covenants that mav restrict or orohibit such
structure. Please consult with'four Home Owners Association and review'your deed for any restrictions rdhich 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 on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencinR work or recording vour Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srr-ucre
(Name of person acknowledging )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
State of Florida )
Wa, fWA
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
Personally Known x OR Produced ldentification
of ldentification Produced
(Name of person acknowledging )
of Notary Public- State of Florida )
LE ld \ifEustr'
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DANELT.E tgUFrfemnt,|ti tr,tv couttulssloN # FF961459