HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.10/3/16 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772\ 462-1553 Fax: (772\ 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 9 DON QUIXOTE LANE
Legal Description:
Property Tax lD #:
Site Plan Name:
3427-1 1 1-0002-000-5 Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHAN(JEOUT
4 TON 1O KW 14 SEEFI PACKAGE UNIT
under thrs oermit - c a pprv:
Gas Tank I lGas Piping
t_l^Plumbing | | Sprinklers
Sh utters
Ge nerato r
l_l *,noo*s/Doors
tr_tr I Roof
Total So, Ft of Construction:Sq. Ft. of First Ftoor:
Utilities: l-l r"*ur. E t"*Cost of Construction: $ 4300'00 Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
113rng WYNNE BUILDING CORP
Address:8000 S US HWY 'l STE 402
State: FLCity: PORT ST LUCIE
7in Carla' 34952
phone 11s. ((BRIAN SHAVELSON 772-579-8035)))
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
City: FORT PIERCE State:FL
zi^ c^a^. 349464rv vvvL.S1y. 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d 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:
LIY'Phone:
BONDING COMPANY: Not Applicable
Name:
Ad d ress:
City:
7in'P ho ne:
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is erantine a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Ow6ers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with'rj'our Home Owners Association and review'your deed for any restrictions id'hich 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 approverd 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.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS
(t
1,t tr,.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr ructe
CHRISTOPHER P LANGEL
Personally Known x OR Produced ldentification
voe of ldentification Produced
(Name of person acknowledging )
State of Florida )
STATE OF FLORIDA
COUNTY Qf srrucre
_ Signature of Owner/ Lessee/Agent
(Name of person acknowledeine )
Commission No.
Personally Known .X OR Produced ldentification
Type of ldentification Producerj
gnature of Notary Public- State of Florida )
ir.l,a.,_ BANEL!,E $I WEsEr'4F
#T'l ruvE6ftllursstot* # FFs614
EXPIRES February 16'MY COMMISSION # FF961459