HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 10/'18/'16 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Codt: Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
Address: 179 NE BRACKEN RD
Legal Description:
Propefty Tax lD #:
Site Plan Name:
3419-570-0014-000-8 Lot No
Block No.
Project Name:
Setbacks Front
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKF:CHANGEOUT
\h s{-axSttrr f ou)
tonal wo permrr -a pply:
V
T
HVAC
Electr c
Gas Tank
Plu m bing
Gas Piping S h utte rs
Generator
l-l *,noo*s/Doors
T Sprin klers rltl l---l noor
Total So. Ft of Construction:So. Ft. of First Floor:
Utitities: l---l r"*", E t"* Building Height:Cost of Construction: S
Name: CHRISTOPHER LANGEL
Company:SEA COAST A/C
Address: 3108INDUSTRIAL 31st ST
citv,IIj]Ex9E State: FL
ZiP Code: 34946 p3y. 466-3053
phone Ns.772-466-2400
E-Mail : DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
PROPOSED IM PROVEM ENT LOCATION :
CONSTRUCTION I N FORMATION :
OWN ER/LESSEE:CONTRACTOR:
N3ms LOYD SYBE:RT
Address:3213 RIVER DR
City: FT PIERCE State:FL
ZiP Code: 34983
phone pe. 772-4i)9-0594
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:
Zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
LIP,Phone:
BONDING
Name:
COMPANY: _Not Applicable
Add ress:
City:
zip:
lcertifythat no workor installation has commenced priorto the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpolicable Home Owiers As5ociation rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with'lour 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 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
commencing work or recordin r Notice of Commencement.
Revised 0711512014
VEGETATION
REVIEW
Signature of Owner tractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personallv Known OR Produc
Type of ldentification
Commission No.
Signature of Contractor
STATE OF FLORIDA
COUNTY OF
(Name of person acknowledging )
sonallv Known oR Produced ldentification
of ldentificati
mission No.
( ature of Notary Public- State of Florida )
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EXPIRES Fobruary 16,2020
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