HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. I 1/3/16 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PRO,POSED IMPROVEM ENT LOCATION :
Address: 25 LA PUERTE DEL NORTE
LegalDescription:
Property Tax lD #:
Site Plan Name:
130'1-'l 1 I -0001-000-5 Lot No.
Block No,
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGE OUT
4 TON 14 SEER 10 KW PACKAGE A/C SYSTEM
s perm a oolv:
Vr HVAC
Electric
Gas Tank
Plu mbing
l_leas eiplng tr S h utte rs
Generator
Ttr
Windows/Doors
Rooftrl-lsprintters
Total Sq. Ft of Construction:
Cost of Construction. S 3975.00 Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTI O.N I N FORMATION :
OWN ER/LESSEE:CONTRACTOR:
N2ms WYNNE BUILDING CORP
Address:12804 SW 122nd AYE
City: MIAMI State:FL
ZiP Code: 33'186 Fax:
phone 116, (((LOIS ELtAs 772-466-4050)))
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company:SEA COAST AJC
Address: 3108 INDUSTRIAL 31st STREET
Citv: FT PIERCE 5rate:' -
7;p 6e6s. 34946 p1y. 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMCO35421
SU PPLEM ENTAL CONSTRUCTION LIEN LAW IN.FORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add 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
City
zip:
le:_
ress
Phone:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
I certify that no work or installation has commenced prior to 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 dpplicable Home Owiers AsSociation rules, bvlaws or and covenants that mav restrict <ir prohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions uihich may apply.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, 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
commencins work or recording vour Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY QP srructe
cHRts LnxceL a
(Name of person acknowledging )
ture of Notary Public: State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
STATE OF FLORIDA
COUNTY QpsrL-ucre
n acknowledging )
of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
of ldentification
mission No.oAllE[tE hl wEsENt
ui'c'6ilrru rsstoN # F Fe61 ffii5"'{hE j[il-',',,.yiT
,^.;il"*i{:l ExplREs Febnrary rc, 2o2o:!/,399-015J