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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABTE INIFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED DaIe, 10t20116 Permit Number: Building Permit Application Planning ond Development Services Building qnd Cocle Regulation Division 2300 Virginio Avenue, Fort pierce FL .j4982 Phone: (772) 462-1.553 Fax: (772.) 462-1.578 Commercial Residential x Legal Description: Property Tax lD #: Site Plan Name: 1425-.606-0032-000-1 Lot No Block No. Project Name: Setbacks Front Back:Right Side: Left Side: LIKE FOR LIKE CHANGEOUT 2.5 TON 14 SEER HEAT putvp sysTEM (NO KW) WO appty:V!HVAC Gas Tank Plumbing l_lc;as eiptng S h utte rs Generator [-l *,noo*s/Doors E lectric tr Sprin klers tr l-l noor E Roorpitch Total Sq. Ft of Construction:Sq. Ft, of First Floor: utilities: l-l r"*", E t"*Cost of Construction. S 4993.00 Building Height: lf value of construction is $2500 or more, a RECoRDED Notice of commencement is required, PERMITAPPLICATION FOR: Mechanical Address: 3100 N A1A PROPOSED II/ PROVEM ENT LOCATION : CON.STRUCTI0I{ I N FORMATION : DETAILED DESCRIPTION OF WORK: OWNER/LESSEE:CONTRACTOR: ;13ms RAYMOND GLASEL Address:13366 N FOREST BEACH SHORES RD City: NORTHPORT Zip Code: 4970 phone 11e. 231 -360-9223 Fill in fee simple lfitle Holder on next paCe ( if different from the Owner listed above) Name: CHRISTOPHER LANGEL Company:SEA COAST A/C Address: 3108INDUSTRIAL 31st ST City: FT PIERCE State: FL ZiP Code: 34946 Phone 1119. 77 2-466-2400 E-Mail: DANISEACOASTAIR@AOL.COM State or Countv License: CMC035421 I certify that no work or installation has commenced prior to the issuance of a permit, st' Lucie countv makes no representation that is qlgltjlc a permit willa,uthorize the permit holderto build the subiect structurewhich is in conflict with any a'pplicatjle HoriiJbtirhers As5ociation rules, bvlaws or an{ covenants that mav restrict or prohibrt suchstructure' Please consult with'!our Home owneis fti;;ratidi;;b '".;i6f i;iiioldiji"ilrri';&iit'iik;,i;'Wriiir.,'iir"a'v".dpiv " In consideration.ol'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. Lrcie 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 flPj:^":n"l:'.1:I^"^T_,q,^"tgilt.4 f "lii: of ,cglq.eniemJni mu't b; ;";old;fand posted on the jobsite''- "" r""1.,"^,.-"I;::]'T i".':: ur !\Iiilr.rEilLer.ileilL rilusr. oe recorqeq ano posteo on tneJobsttebefore the first inspection. lf.you intend to obtain finanCing, ionsult with lendei or an attorney beforecommencing wolk or recording vour Notice of Commence[ient. Revised 07l15l20l4 DEStcNER/ENGtNEER: -_ Not AppnAEiE Name: Address: MORTGAGE COMPANY: _ Not Applicable Name: Ad d ress: State:Zip: Phone: FEE SIMPLE TITLE HOLDER: __ Not Applicable Name: Phone: BONDING COMPANY: _Not Applicable Name: Zip: Phone: tor as Agent Owner STATE OF FLORIDA COUNTY OF (Name of person acknowledging ) ure of Notary Personally Known Type of ldentification Commission No. STATE OF FLORIDA COUNTY OF CHRISTOPHER LANGEL Signature of Contractor/License (Name of person acknowledging ) sonally Known OR Produced ldentification of ldentification re of Notary Public- State of Florida ) :* MY coMn4mqN # FFs61459 EXPIRES February 16, 2020 FRONT COUNTER SUPERVISOR REVIEW ZONING REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW INITIALS