HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 9121116 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-t553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED I M PROVEM ENT LOCATION :
Address: 560'l PAL[--O PINES CIRCLE
Legal Description:
Property Tax lD #:
Site Plan Name:
1 31 2-500-001 1 -000-6 Lot No
Block No.
Project Name:
Setbacks Front
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON ,10 KW 14 SEER
permrr -a oolv:
V
T
HVAC
Electric tr
Gas Tank
Plumbing
Ttr
Gas Piping
Sp rin klers T
S h utte rs
Generator
T
T-
Windows/Doors
Roof
Total So, Ft of Construction:Sq. Ft. of First
Utilities: l-l r"*u,
Floor:
Et-*Cost of Constructiorr: $ 47oo.oo Building Height:
OWN ER/LESSEE:CONTRACTOR:
;13ms EDWARD FL-ETCHER
Address:222 SCOTT LANE
City: SMYRNn State: DE
ZiP Code: 19977 Fax:
Phone No.
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 31 ST STREET
City:FORT PIERCE State: FL
ZiP Code: 34946 p6y. 772-466-3053
p hone 11s. 77 2-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip: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:
zip:P hone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makels no representation that is srantins a permit will authorize the permit holder to build the subiect strucrure
which is in conflict with anv applicable Home Owiers AsSociation rules, bvlaws or and covenants that mav restrict dr prohibit such
structure. Please con:;ult with iour 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
k or recordins vour Notice of Cocommencrng worK or recorotng vour t\oilce oI Lomme ncement
etl' -"-=S
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr ructe
cHRtsroPHER *Lnncel
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucre
The ing in
this day d
,runJent was acknowledged before me
,zolb nv
CHRISTOPHER P LANGEL
(Name of person acknowledging )
"thilrIhhtk)onr M{clrl
(Name of person acknowledging )
ANlhftirunnn
Personallv Known X OR Produc
Type of ldentification Pr
Commission No.
of Notary Public- State of Florida )
Personally Known X OR Produced ldentification
Tvoe of ldentification Produced
Revised 07l15l2014 (
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P E RVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM PLETE
INITIALS