HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.9/14116 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: 1772) 462-t553 Fax: (772) 462-1518
PERMITAPPLICATION FOR: Mechanical
Commercial Residential x
Address: 6905 CITRUS PARK BLVD
Legal Description:
Property Tax lD #:
Site Plan Name:
1 30'1 -6'1'l -00'1 8-000-2 Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2,5 TON 5 KW 14 SEER
worK to oermrt - cnecK a apply:
VI HVAC
E lect ric
Gas Tank
Plumbing
l_leas eiping
tlll
Sh utte rs
Generato r
Ttr
Windows/Doors
RoofTl---lsprint<ters
Total Sq. Ft of Construction:Sq. Ft. of First
Utilities: l-]ru*ur.
Floor:
Et"*Cost of Construction. S 4793.00 Building Height:
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 3'1 ST STREET
g;1y. FORT PIERCE State: FL
ZiP Code: 34946 pzy' 772-466-3053
p hone 11s. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
PROPOSED IM PROVEM ENT LOCATION :
CONSTRUCTION I N FORMATION :
OWNERILESSEE:CONTRACTOR:
113rng WOODRUFF HOME AND MARINE SERVICES
Address:6906 DONLON RD
City: FT PIERCE State: FL
ZiP Code: 3495'1
phone 116. 772-584-'1 396
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
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 Countv makes no representation that is srantine a oermit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home Owiers As5ociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with'iiour 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 I will, 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
Revised 0711512014
commencing work or r :cording vour Notice of Commencement
F 5
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRrsroPHER Antcel
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr ructe
CHRISTOPHER P LANGEL
(Name of person acknowledging )
ffil rujx( lr,ll"fu ao/vr\CI/r-
(Name of person acknowledging )
Al ilIllLl^ilr b,rBzn a,,-
Personally Known X OR Produced ldentificat
Tvpe of ldentification Pr
Commission No.
(s'Enat'iiiof rtrotary pu6tic- stitd rida )
Aarcnnellrr Knnrrrn X OR Prndr re ad ldpntifira
$n. "i i"nlit I'ti-Produced
$mmission
*". --j r.it%."qi", DAN E LLSffi tilES EMAN
i:: ffi :i MY coiilMtsstoN # FFe614se
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REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS