HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. '10/13/16 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772\ 462-L553 Fax: (772) 462'L578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5155 N AlAf,514
Legal Description:
Property Tax lD #:
Site Plan Name:
141 1-7 07 -0023-000-2 Lot No
Block No.
Project Name:
Setback:; Front Back: Rieht Side: Left Side:
I orrnrLED DESCRTPTToN oF woRK:
tIKE FOR LIKE CHANGEOUT
2 TON 5 KW 14 SEER
nal worK to ormeo u rs perm rr -a ppry:
VI HVAC
Electric T
Gas Tank
Plum bing
l-lcas eiping
l---lsprinklers tr
S h utte rs
Ge nerator
ntr Windows/Doors
Roof
Total So. Ft of Construction:
Cost of Construction. S 4181.00 Building Height:
CONTRACTOR:
Name: CHRISTOPHER P LANGEL
Company:SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 3'1ST STREET
FORT PIERCE State: FL
ZiP Code: 34946 p2y. 772-466-3053
phone y6.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: cMCo3542'1
OWNER/LESSEE:
113mg DONALD DONOVAN
Address: 5517 BAYBERRY DR
r-i+,,' CINCINNATIv,ry,State:oH
ZiP Code: 45242
phone 11 e. OWN ER-5'1 3-236-2983
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONST RUCTION IN FORMATION :
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is srantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owfiers AsSociation rules, bvlaws or and covenants that mav restrict <jr 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 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
commencine work or recordi ur Notice of Commencement.
Revised 0711512014
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucrs
cHRtsroPHER 4mncer
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
STATE OF FLORIDA
COUNTY QP sr ructe
CHRISTOPHER P LANGEL
Personallv Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
(Name of person acknowledging )
Public- State of Florida )
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
DESIGNER/ENGINEER: _ Not Applicable
Ad d ress:
: State:
Phone:
COMPANY: _Not ApplicableFEE SIMPLE TITLE HOLDER: _ Not Applicable
Name;