HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUS'II BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 9122116 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
Address: 1795 GOLDEN PONDS DRIVE
Legal Description:
Property Tax lD #:
Site Plan Name:
2302-21 1-0025-000-5 Lot No.
Block No,
Project Name:
Setbacks Front Back:Right Side: Left Side:
LIKE FOR LIKE
3 TON 14 SEER
CHANGEOUT
8KW
)otUonat\
Zruo.
u noer tn tstrtr
permtt -apply:
Gas Tank
Plum bing
Gas Piping
S p rin klers
Sh utte rs
Generator
l-l *'noo*s/Doors
I Etectric tr_TItl T Roof
Total So. Ft of Construction:So, Ft. of First Floor:l-l t--l
Utilities: I lSewer I lSeptic Building Height:Cost of Construction. S 4435.00
OWN ER/LESSEE:CONTRACTOR:
;12ms PERSHING MOBILE HOME SLAES
Address:901 MW 31st AVE
City: PoMPANO BEACH State:FL
ZiP Code: 33069 Fax:
phone pe, (((MARloN HAMMOND 772-460-7464)))
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: 3'108 INDUSTRIAL 31ST STREET
g;1y. FORT PIERCE State:FL
ZiP Code: 34946 p1y. 772-466-3053
phone Ns.772-466-2400
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,
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
DETAILED DESCR}PTION OF WORK:
CONSTRUCTION I N FORMATION :
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:
Add ress:
City:
7ia'Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 srantins a permit will authorize the permit holderto build the subiect structure
which is in conflict with anv applicable Home Owners 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 idhich 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 fullconcurrency 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
com work or recordin r Notice of Commencement.
Revised 0711512014
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produ
Commission No.
ractor/License Holder
STATE OF FLORIDA
COUNTY Qp sr r-ucrr
CHRISTOPHER P LANGEL
Personally Known X OR Produced ldentification
of ldentification Produced
ment was
(Name of person acknowledging )
(Signature of Notary State of Florida )
oS 1|:3t,..'o" oi-*u, ouo
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS