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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 10/1 1/16 Permit Number: Building permit Application Planning and Development Servtces Building ond Code Regulation Division 2300 Virginia Avenue, Fort pierce FL 34gg2 Phone: (772) 462-1553 Fax: (772) 462_1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IM PROVEM ENT LOCATION : Address: 14236 AVESTRUZ COURT Legal Description: Property Tax lD #: Site Plan Name: 1308-1 1 1-0001-000_0 Lot No Block No, Project Name: Setbacks Front Back: --_ Right Side:Left Side: DETAILED DESCRlPTION OF WORK: LIKE I=OR LIKE CHANGEOUT 3.5 TON 14 SEER 1O KW PACKAGE UNIT permtt - c Gas Piping S prin kle rs applv:Vr HVAC Electric T Gas Tank Plumbing TT tr Shutters Generato r l--l *,noo*s/Doors tr Roof Total Sq. Ft of Construction: Cost of Construction. S 4635.00 Building Height: CONTRACTOR: Name: CHRTSTOPHER p LANGEL Company: SEA COAST AIR CONDITIONING Address: 3'108 INDUSTRTAL 31 ST STREET City: FORT PIERCE State: FL ZiP Code: 34946 p6y. 772-466-3053 phone y1s. 772-466-2400 E-Mail: DANISEACOASTATR@AOL.COM State or Countv License: CMC03S421 lf value of construction is S2SO0 or rno CONS-fRUCTION I N FORMATION : OWN ER/LESSEE: J13mg WYNNE BUtLDtNG Address:12804 SW 122nd AVE City: ryqM] ZiP Code: 33186 phone 11s. (((RUTH DEMAND-203_592_451 3))) Fill in fer-'simple Title Holder on next pate ( if different from the Owner listed above) I certify that no work or installation has commenced prior to the issuance of a permit. st' Lucie countv makes no representation that is glgltjlg_qpgrmit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anv dp[lica6le Hoii;brirhers Rs5ociation rutes, bviawioiind';;rL;;;t;ihrt may restrict or prohibit suchstructure' Please consult with four Home owneis Aliofiiiiolii"nb r..ii6titvour deed for any restriCtrons wnrcn may appry. In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Floridi Building coo"r a'iJit. Lucie county Amendmenrs. The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, rcr""n ioorr and accessory uies to another non-residential usewARl\lNG To owNER: Your failure to Record a Notice of commencernent may result in your paying twice for ij:pj:1,:nT.."11:J^"^T.t'^"q:iy l_|"_ti:::l,C;T.;;;;;;i',;,t b; ;;;}i:;,no posted on the jobsitebefore the first indpection,'tf ydu intenJio obtain ii"nCiiie,'i"rrrir",iii[i! |il:#ii;;#l t"?J?:ice of Co nmencefrent. Revised 071t512014 VEGETATION REVIEW LAW INFORMATION: DESIGNER/ENGINEER _ Not Applicable City: Zip: _ phone: MORTGAGE COMPANy: Not Applicable Name: State:Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Zip: phone: BONDING COMPANY: _Not Applicable Name: Zip: Phone: _ Signat of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY Qf srrucre cHRISTopHER Ai-ntcer (Name of person acknowledgingJ e of Notary e of Florida ) Personally Known x OR produced ldentification Type of ldentification produ Commiss;ion No. Signatu re STATE OF FLORIDA COUNTY Qf sr r-ucre CHRISTOPHER P LANGEL (Name of person acknowledging ) (Signature of Notary public- State of Florida-j Personally Known X OR produced ldentification of ldentification produced -=lxlk'fft5:IE$'"ff; i MY CoMMtsstoN # FFS61459