HomeMy WebLinkAboutBuilding Permit ApplcationSu f-o -tl '[r?,{,i !A
',1r1 I X,rl Ii 'i't l,'l I \./'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D61s. '10/13/16 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5208 BIRCH DR
Legal Description:
Propefty Tax lD #:
Site Plan Name:
3402-608-0406-000-5 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 15 SEER 5 KW
Jd tt
V
E
onat worK to rmeo u permrt -appty:
HVAC
E lectric
Gas Tank
Plumbing
Ttr
Gas Piping
Sprin klers
S h utte rs
Generator
f-l *'noo*s/DoorsTtrIRoof
Total Sq. Ft of Construction:
Cost of Construction' S 5446.00 Building Height:
CONTRACTOR:
lf value of construction is S25OO or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:
N3rng EILEEN BRADLEY
Address: 5208 BIRCH DR
City: FT PIERCE
phone Ns.772-332-O249
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 3'1 ST STREET
g;1y. FORT PIERCE State: FL
ZiP Code: 34946 p2y. 772-466-3053
phone y1s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
CONSTRUCTION I N FORMATION :
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no repre.gentation that is qr^{tj!q-a pgl'mit will a,uthorize the permit holder to build the subiect strucrurewhich is in conflict with anv a'ppllCabfe HoriiJb'ihers Asslociation rutes, bvii-wiqi;;{;ij"ij;;ii!ih.t mav restrict or prohibit suchstructure. Please consult with' r)our Home owneis A!sb;'ratio;i;;b' r.;i6f i;iii o"edii i"ilri';;rli';ti"*#Wriiii'li!'v".dpiv.""
ln 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 Florida Building codes and 5t. Lucie couniy Rmendments.
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
flPj:":nT"t'.t,:I^1T-P^'^"?9ilt 4 f "llgg or commeniem"ni muit b; ;e;;ld;iano posted on the jobsite
!9fore the first inipection.'lf ydu intend io obtain financing, ionsutt with lender ;r;A';ii;;#; il";#;commencing work or recording vour Notice of commencefiient.
Revised 07115120t4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENG|NEER: _ Not ApplAEiE MORTGAGE COMPANY: _ Not Applicable
Name:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicabte
Name:
Ad d ress:
BONDING COMPANY: Not Applicable
Name:
Zip: Phone:
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known x OR Produced
Type of ldentification
Commission No,
S
STATE OF FLORIDA
COUNTY Qf srrucre
CHRISTOPHER P LANGEL
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR produced ldentification
Type of ldentification produced
kY-"$Hs?:iti'H
# FFS61459