HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11121116 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL j4982
Phone: (772) 462-1553 Fax: (772) 462-L518 Commercial Residential x
PERMIT APPLICATION FOR: To Select from droobox. click arrow at the end of line
Legal Description;
Property Tax lD #:341 0-508-00'1 7-000-9 Lot No.
Site Plan Name:Blocl< No.
Project Name:
Setbacks Front Bacl<: _ Right Side:Left Side:
I DETAILED DESCRIPTION OF WORI(:
I
LIKE FOR LIKE CHANGEOUT
3 5 TON 14 SEER 8 KW
CONSTRUCTION I N FORMATION :
onal worK to rs permrr -
V
n
HVAC
E lect ric n Gas Tank
Plu mbing
T-l^I luas Hrprng
[---lsprtn kters
Ittl
S h utte rs
G e ne rator
nl Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. S 41 35 00 Building Fleight:
CONTRACTOR:
Nsmg TROPICAL ISLES CO-OP Name: CHRIS LANGEL
Address:281 TROPICAL ISLES CIRCLE Company:-s5 -c949lf1cr-ir'' FT PIERCEv,ry,State: FL Address: 3108 INDUSTRIAL 31st STREET
7in sn4o. 34982 Fax:FT PIERCE State: FL
phone No. (((ALLANA MITCHELL 772-359-8728)))Tin anAo. 34946 g1y. 772-466-3053
phone 11s, 772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-M ail: DANISEACOASTAIR@AOL.COM
State or Countv License: CtVlC035421
PROPOSED IM PROVEMENT LOCATION :
Address: 243 SANDY BOTTOM PLACE
OWN ER/LESSEE:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required,
LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City
7ip:
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:
Ad d ress:
City:
zip: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 srantine a nermit will authorize the permit holder to build the subiect structure
which is in conflict with anv a'pplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict rjr prohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions r,rThich 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
commencine work or recordinp. vour Notice of Commencement.
Revised 0711512014
STATE OF FLORIDA
COUNTY OF sr LUcrE
Signature of Owner/Lessee/Contractor as Agent for Owner
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally l(nown x OR Produced ldenti
Type of ldentification P
Commission [\e. FFs61
STATE OF FLORIDA
COUNTY OF
Signature of Contractor/License Holder
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally l(nown OR Produced ldentification
Type of ldentificatlon Produced
Commission \q. FFe6145eil;H$gg:*"Jl',',::llr
MY COMMISSION # FF961450
EXPIRES February 16,202A
FRONT
COUNTER
VEGETATION
REVIEW
ZONING
REVIEW
SUPERVISOR
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
IN ITIALS