HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 10117116 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772\ 462-L553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IM PROVEM ENT LOCATION :
Address: 5306 HICKORY DRIVE
LegalDescription:
Propefty Tax lD #:
Site Plan Name:
3402-608-0459-000-'1 Lot No
Block No.
Project Name:
Setbacks Front Back:
-
Right Side:Left Side:
DETAILED DESCRIPTIOI{ OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 8 KW
)oruonatwo
Z ruo.
s per apprv:
Gas Tank
Plumbing
l-leas Pipine Shutters
Generator
!tr Windows/Doors
Roofl_--le tectric tr_l_lsprinkters tr
Total Sq. Ft of Construction:ST+ of First Floor'.
-
Utilities:l lsu*"r. I lseptic Building Height:Cost of Construction' S 5912.00
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CON STRUCTION I N FORMATION :
OWN ER/LESSEE:
Name: CHRIS LANGEL
Address: 3108INDUSTRIAL 31st ST
5raTe:, -
ZiP Code: 34946 p1y. 772-466-3053
phone 11s. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMCo35421
;r1sms EILEEN TILTON
Address: 5306 HICKORY DRIVE
Citv: FT PIERCE State:FL
ZiP Code: 34982
phone Ns.772-332-8272
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I certifv that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is erantins a permit will authorize the permit holder to build the subject structure
whlch-ii ia conllici with anv a'ppljCable Home Owfiers AsSociation rules, bvlaws or and covenants that may restrict or prohibit such
structure. Please consult with'!our Home Owners Association and review'your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, 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
work or recordcommencinP work or reco ur Notice of Commencemen
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
(Name of person acknowledging )
(signature of Notary Publi;Sta-ie of -loriAa
1
Personallv Known OR Produced ldentification
Type of ldentification Produc
Commission No.ffi:rs,t$
(Signat"uie of Notary Public-- State of Florida )
Personallv Known OR Produced ldentification
Type of ldentification Produced
Com l)
Revised 07l1
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
IJAIT
COMPLETE
INITIALS
E COMPANY: _ Not ApplicableMORTGAG
Name:
Phone:
GINEER: _ Not Applicable
State:
Phone:
BONDING COMPANY:
-Not
APPlicable
Name:
Ad d ress:
TITLE HOLDERT _ Not Applicable
Phone: