HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 10/8/16 permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL j4982
Phone: (7721462-1553 Fax: (772) 462-1.578 Commercial Residential x
PERMIT APPLICATION Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
3402-610-0265-000-'1 Lot No
Blocl< No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
II DETAILED DESCRIPTION OF WORK:r_l
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER 1O KW
CONSTRUCTION I N FORMATION :
worK to rs permtl -a ppry:
V!HVAC
E lect ric
Gas Tank
Plum bing
l-lcas eiping
t_l^I r)pflnKters
S h utte rs
Generator
[-l *,noo*s/Doors
tr_t-tll I Roof
Total So. Ft of Construction:
Cost of Construction' S 5426.00 Building Height:
CONTRACTOR:
N3ms MICHAEL WEST Name: CHRISTOPHER P LANGEL
Addres:;: 5903 CASSIA DRIVE Company: SEA COAST AIR CONDITIONING
city: rrjllxe!State: FL Address: 3108 INDUSTRIAL 3'1ST STREET
ZiP Code: 34982 Fax:FORT PIERCE State: FL'
p h o n e y1s. 7 7 2-37 0-3525 7in cnAo. 34946 772-466-3053
phone 11s. 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different
from thre Owner listed above)
E-Mait: DANISEACOASTAIR@AOL.COlvl
State or Countv License: CMC035421
Address: 5903 CASSIA DRIVE
OWNER/LESSEE:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:
7in'
State:
Phone:
MORTGAGE COMPANY:
-
Not Applicable
Name:
Address:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
LrLy,
7in'Phone:
BONDING COMPANY:
Name:
_Not Applicable
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 erantine a permit will authorize the permit holderto build the subiect structure
which is in conflict with anv dpplicable Home owiers 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 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 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
commencins work or recordi r Notice of Commencement.
Revised 0711512014
%W,
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf srructr
CHRISTOPHER P LANGEL
allv Known x OR Produced ldentification
of ldentification Produced
(Name of person acknowledging )
fre of Notarv Public- State
_ Signature of Owner Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucrr
cHRrsroPHER *rencrl
Personallv Known X OR Produced ldentification
Type of ldentification Produced
Commission No.
(Name of person acknowledging )
(Ygnature of Notary
f nNtELF- ^.^r,rf F
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"Iil*"t'on
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REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS