HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDlr
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Building Permit Application
Plonning ond Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED I M PROVEM ENT LOCATION :
Add ress:tnrn-irt r T
Legal Description:
Site Plan Name:Block No
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAI.LED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3's icrr- 8 KrJ \b selr
tona unOer Tnrs pe apprv:
V
T
HVAC
E lect ric
Gas Tank
Plumbing
l-leas eiplng Shutters
Generator
l_l *,noo*s/Doors
tr_l_lsprint<ters tr T Roof
Total So. Ft of Construction:
cost of Construction' S 5 [5O. @ Building Height:
Name: CHRISTOPHER P LANGEL
Com pa ny:SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
City:FORT PIERCE 5rare: | -
ZiP Code: 34946 p1y. 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
Property Tax lD #:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
CONSTRUCTION I N FORMATION :
OWN ER/LESSEE:
State: FLcity: W =Y;ULU
Zip Code: Jf,1 L4__ Fax:
E-Mail:
Fill in fee simple'Iitle Holder on next page ( if different
from the Owner flisted above)
SUPPLEMENTAI- CONSTRUCTION LIEN LAW INFORMAT
DESIGNER/ENGIINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone:
MORTGAGE COMPANY
Name:
_ Not Applicable
Ad d ress:
City:State:
Zip: Phone
FEE SIM
Name:
PLE
,
TITLE HOLDER: _ Not Applicable
Ad d ress
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 holder to build the subiect structure
which is in conflict with anv doolicable Home Owiers AsSociation rules. bvlaws or and covenants that mav restrict <ir 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
commencins work or recordins vour Notice of Commencement.
KCV1SCO U,//
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY Qf srructe
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_ Signature of Owner/ Lessee/Agent
(Name of person acknowledging )
Signature of Notary Public- State of Florida )
OR Produced ldentifica
TVpe of ldentification
STATE OF FLORIDA
COUNTY Qf sr ructe
iluffii:;edgqd before me
zotr(o ov
CHRISTOPHER P LANGEL
Signature of Contractor
Personallv Known X OR Produced ldentification
Type of ldentification Produced
commission No, t{ELtE&egYflsEMANl
coMMlssloN # FFs6145i)
(Name of person acknowledging
ure of Notary Public- State of Florida )
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