HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 9/8/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772lr 462-L553 Fax: (772) 462-1578 Commercial Residentia I x
PERMIT APPLICATION FOR: Mechanical
PROPOSED I.M.PROVEM ENT LOCATION :
Address: 10309 CROSBY PLACE
Lega I Description:
Property Tax lD #:
Site Plan Name:
3327-709-0056-000-6 Lot No.
Block No.
Project Name:
Setbacks Front Back:
--
Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
5 TON 16 SEER 1O KW
ldrttonalwo
Z nuo.
rs perm rI - c a ppry:
Gas Tank
Plum bing
l_lcas riping S h utte rs
Generator
l---l *'noo*s/DoorsI r,"..,.'.tr [-l sprint<lers tr tr Roof
Total Sq. Ft of Construction:So. Ft. of First Floor:nTtUtilities: I lSewer I lSeptic Building Height:Cost of Construction. S 7'133.00
OWN ER/LESSEE:CONTRACTOR:
;13mg ARLENE WILKERSON
Address:9359 SHORE DR
r-i+,,' MILFORDv,Ly.State:DE
7;o 6o69' 19963 Fax:
p hone y1s. 302-22.8-341 4
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
City:FORT PIERCE 5tate:FL
ZiP Code: 34946 p6y. 772-466-3053
p hone y1s, 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 IN FORMATION :
*i,
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add
City
zip:
ress:
State:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:
zip:
State:
Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY:
Name:
_Not Applicable
Add ress:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is erantine a oermit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owfrers AsSociation rules, bvlaws or and covenants that mav restrict <ir prohibit such
structure, Please consult With'vour Home Owners Association and review'Vour deed for any restrictions uihich 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
commencine work or recordins vour Notice of Commencement,
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DA TE
COMPLETE
INITIALS
r/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
(Name of person acknowledging )
Personally Known x OR Produced ldentification
of ldentification Produced
mmtsston
of Notary Public- State of Flo
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srructe
cHRtsroPHER *Lnnoel
(Name of person acknowledging )
of NotarV Public- State of Florida )
Personallv Known x OR Produced ldentification
Type of ldentification Produced
:I'a-. p.*rtE!-LE ld wt
dY;l *{,tcilrmrsstot't *
i*tt*t* February 16'
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MY COMMlsstoN # FFe61459