HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11118116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1"578 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1425-61 0-0091 -000-5 Lot No,
Block No,
Project Name:
Setbacks Front Ba ck:Right Side:Left Side:
DETAILED D]ESCRI:PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3.5 TON,13.7 EER WATER SOURCE HEAT PUMP
ona I worK to permrr -appty:
Vl HVAC
E lect ric
Gas Tanl<
Plu m bing
Tn Gas Piping
S p rin kle rs
tltl
Sh utte rs
Generator
l-l *,noo*s/Doorsul--] noor f- I Roor pitch
Total Sq, Ft of Construction:Sq, Ft, of First Floor:
Utitities: l-l ru*ur. [-] t"* Buitding Height:Cost of Construction. S 51 10.00
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 3120 N A1A #405
PROPOSED I.MPROVEM E NT LOCATI,ON :
OWN ERILESSEE:CONTRACTOR:
113mg MARQUIS EADES
Address:3120NA1A#405
City: FT PIERCE State: FL
7i^ r^^"lo' 34949 Fax:
phone 11s, 772468-0318
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Com pany:SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
citv' FT PIERCE trl)rare:, -
ZiP Code: 34946 p1y' 772-466"3053
phone 11s, 77 2-466-2400
E-M ail : DANISEACOASTAIR@AOL,COM
State or Countv License: Clvlc035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
SU PPLEM ENTAL CON STRU CTION LI:EN LAW I N:FO RMATION :
DESIGNER/ENGINEER:
--
Not Applicable
Na me:
Ad d ress:
City State;
4r P,Phone:
MORTGAGE COMPANY
Name:
_ Not Applicable
Ad d ress:
City State:
P hone
FEE SIMPLE TITLE HOLDER:
--
Not Applicable
Name:
Add ress:
City:
7-ip:Pho ne:
BONDING COMPANY:
-Not
APP|icable
Name:
Ad d res s:
City:
Zp P hone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whrcTii; ii ciiflict with jiv jpptlia6te- Home Owfieis Aslociation rules, bylaws or and covenants that may, restrict or prohibit such
structure, please consult wlth tiour 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 wlth the approved plans, the Florida Building Codes and St. Lucie County Amendments,
The following building permit applications are exempt from undergoing a full concurrency reviewl room additions,
accessorV 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
behore the first ins'pection, lf ydu intend to obtain financing, consult with lender or an attorney before
commencins work or recording vour Notice of Commencement.
REVIEWS
DA'IE
CO M P LETE
INITIALS
or recorotn
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 91fte
c{tRts LnNcer
(Name of person acknowledging ) 1,
Personally Known x OR Produced ldentification
(14 "l-/
Signature of Contractor/Lrt
STATE OF FLORIDA
COUNTY OF srLUc
EL
iMr. r"*k
f,-{gf "t Identification Pro
rd$flr\nission No. FFe6145e
"to \
ure of NotarV Publ
Personally Known
c- State of Florida )
OR Produced ldentification
IUCeO E*=Type ot ldentitication Produce(
commission \e. FFs6145e
M WESE$IN
sloN # FF96145s
ExPtRES Februaili6' 2020
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Revised 0711512014
VEGETATION
REVIEW