HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11121116 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-t553 Fax: (772) 462-1518 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox. click arrow at the end of line
Legal Description:
Property Tax lD #:
Site Plan Name:
'l 3't 2-500-0056-000-3 Lot No,
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I
II orto'rrgj5.*,rt'o* or *onr<:-
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER 8 KW
CONSTRUCTION IN FORMATION :
tnrs permrt - cll-t^I luas HrprngV
T
HVAC
Electric tr_
Gas Tank
Plu mbing f--lsprintters tltl
Shutte rs
Generator
TT Windows/Doors
Roof n Roof pitch
Total So, Ft of Construction:Sq. Ft. of First Floor:
Ut i I ities : l---l ru*",. [-] t" *Cost of Construction.S 4463.00 Building Height:
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3108 INDUSTRIAL 31st STREET
cit'. FT PIERCE State: FL
ZiP Code: 34946 V1y. 772-466-3053
p hone 11s. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03542'1
PROPOSED IM PROVEM ENT LOCATION :
Address: 5505 EAGLE DRIVE
OWN ER/LESSEE:
113rns MARY LANNINO
Address: 5505 EAGLE DRIVE
City: FT PIERCE State: FL
Tin anAo. 34951a,y vvvu.
p hone y16. 77 2-242-1 425
E-Mail:
Fill in fee simple Title F{older on next page ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewhich is in conflict with anv dpplicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cjr orohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions r,rihich 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
lmprovements 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 withJender or an attorney before
commencing Work or recording v Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
Signatu Owner e/Contractor as Agent for Owner
STATE OF FLOR]DA
COUNTY OF srLUcrE
(Name of person acknowledging )
ture of Notary Public- State of Florida )
Personally Known X OR Produced ldentification
Type of ldentification Produced
Commission [\6, FFe6145s
Sign ature
STATE OF FLORIDA
OR Produced ldentification
cation Produced
(Name of person acknowledging )
Public- State of Florida )