HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.9/13/16 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-L553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLIC,ATION FOR: Mechanical
Legal Description:
Property Tax lD #:
Site Plan Name:
"4313-214-0003-000-s Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side:Left Side:
DETAILED DESC:RIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 1O KW
nal worK to ormed u permit -appry:
V
E
HVAC
E lectric
Gas Tank
Plum bing
l_lcas niping Sh utte rs
Generator
l_l *,noo*s/Doors
tr S p rin kle rs tr T Roof
Total So. Ft of Construction:Sq. Ft. of First
Utilities: l_lr"*",
Floor:Et.*Cost of Construction. S 4463.00 Building Height:
Name: CHRISTOPHER P LANGEL
Company:SEA COAST AIR CONDITIONING
Address: 3'1 08 INDUSTRIAL 3'1ST STREET
FORT PIERCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone y6.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
PROPOSED I M PROVEM ENT LOCATION :
Address: 1317 COF'ENHAVER ROAD
OWN ER/LESSEE:CONTRACTOR:
112 m g DOROTHY HARRINGTON
Address: 13'1 7 COPENHAVER ROAD
Citv: FT PIERCE State: FL
ZiP Code: 34945
phone 11s. 772-538- 61 70
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTIOI\.I I N FORMATION :
INFORMATION:!ir:\
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add 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:
7p 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 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 which 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
commencing worl( or record ur Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucrr:
(Name of person acknowledging )
ure of Notary Public- Statebf Florida )
Personally Known x OR
Type of ldentificati
tfit'/tt
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf srr-ucre
(Name of person acknowledging )
re of Notary - State of Florida )
OR Produced ldentificationPersonally Known x
Type of ldentification
Commission No.
coMhAl
'rPtR69
MY coMt$l6tiitPN # FFs6l45s
EXPIRES Fotiruary 16, 2020
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
uA tt
COMPLETE
INITIALS