HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe, 1112116 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-L553 Fax: (772) 462-1.578 Commercial x Residentia I
Address: 3901 ST LUCIE BLVD (ADMIN BUILDING, NC 2)
LegalDescription:
Property Tax lD #:
Site Plan Name:
1432-221-000'l-000-6 Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR]PTION OF WORK:
Li6e {or LiHa-
5toru l+5 sxu( lofu-l
is permit -appry:
V
T
HVAC
Electric
Gas Tank
Plumbing
l-lcas elping Shutters T
T-
Windows/Doors
tr Roof
Total Sq, Ft of Construction:
Cost of Construction: S Building Height:
CONSTRUCTION I NFORMATIO.N :
OWNER/LESSEE:CONTRACTOR:
;12ms GEN 123 PROPERTIES
Address: 725 E 40th ST
611y' HOLLAND State: Ml
ZiP Code: 49423 Fax:
p hone 11e. 772-465-6006
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company: SEACOAST AIR CONDITIONING AND SHEET IMETAL INC
Address: 3108 INDUSTRIAL 31ST STREET
6;1y' FORT PIERCE State: FL
ZiP Code: 34947 V1y. 772-466-3053
phone y1s. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
I certify that no work or installation has commenced prior to the issuance of a permit,
St, Lucie Countv makes no representation that is sranting a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owfrers AsSociation rules, bvlaws or and covenants that mav restrict cjr 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, 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
ine work or recordi r Notice of Commencement
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORID I
COUNTY OF LIT ( IL
Type of ldentification
Commission No.
Public- Statd of Florida
STATE OF FLORID
'COUNTY OF LI,LLLL
The forgoing instr.u
this day of
(Signature of Notary Public- State of Florida )
Personally Known _ OR Produced ldentification
Type of ldentificati
Commission No.
ffiseUftt
tilY cPll:'':::;,arv 16, 2020
EXRRhB t'"1 ll^^,...o*
-
OANELLE M WESEMAN
coMMrsblgfrlh rpmr+os
EXPIRES February 16,?0,20
Revised 07l15l20l4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENGINEER: _ Not Applic
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add
City
zip: