HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1111612016 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712\ 462-L553 Fax: (712) 462-L518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION :
Address: 25 LAKE VISTA TRAIL #102
Legal Description:
Property Tax lD #:
Site Plan Name:
3422-500-0338-000-8 Lot No
Block No.
Project Name:
Setbacks Front
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGE OUT
CARRIER 2 TON 5 KW 14 SEER
onal wor rs perm|t -
Vl HVAC
Electric
Gas Tank
Plumbing
l_leas Pipine
|-lsprintters
Sh utte rs
Generator
l-l *,noo*s/Doors
tr T l_lnoot
Total Sq. Ft of Construction:
Cost of Construction. S 3599.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
rit'. FT PIERCE 5rare:' -
ZiP Code: 34946 V1y. 772-466-3053
p hone 116. 772-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or County License: CMCO35421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CO'I\ STR UCTIO N I I\ FO.R MATI'O N :
OWNER/LESSEE:
N3ms RITA KILLINGSWORTH
Address: 25 LAKE VISTA TRAIL #102
6;1y' PORT ST LUCIE State: FL
phone y6.772-342-8327
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
SUPPLEMENTAL CON
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 ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
CitV:
7ip:Phone:
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 holderto build the subiect structure
which is in conflict with anv dpplicable Home Own-ers Ass'ociation rules, bvlaws or and covenants that mav restrict <ir prohibit such
structure. Please consult With Vour 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 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 Vour 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,
Revlsed 07lI5l20l
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
Contractor as Agent
STATE OF FLORIDA
COUNTY Qf srrucre
cHRts LANGeL ^
(Name of person acknowledging )
Personally Known x OR Produced ldent
Type of ldentification
Commission No.
ture of Notary Public- State of Florida )
Signature of Contractor
STATE OF FLORIDA
COUNTY Qf sr rucre
The forgoing instrument was acknowledged before me
this 16 day of NoVEMBER , 20 by
Personallv Known X OR Produced ldentification
Type of ldentification Produced
Commission No.
(Name of person acknowledging )
!nature of Notary State of Florida )