HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 1218116 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virqinia Avenue, Fort Pierce FL i4982
Phone: (172) 462-1553 Fax: (712) 462 I518 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
341 9-540-001 8-000-3 Lot No.
Block No.
Project Name:
Setbacks Front Back; .-- Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 1O KW 16 SEER
CONSTRUCTION I N FORMATION :
s permrt - c apply:
Vl HVAC
Electric T
Gas Tank
Plum bing
l-lcas niping
l- lsprint<ters I S h utte rs
Generator
Windows/Doors
Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
utilities: l--lru*u,. I r"Cost of Construction: $ 5389 00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
Nsms GEORGE R HARRIS Name: CHRIS LANGEL
Address: 1 10 ESTIA LANE Company: SEA COAST A/9
City: PORT ST LUCIE State: FL Address: 3108 INDUSTRIAL 31st STREET
ZiP Code: 34983 City: Fl tLmCE State:jl
772-466-3053phone 11s. 703-409-6869 Zip Code: ?:P49
phone 51o. 772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-M ait: DANISEACOASTAIR@AOL.COtV
State or County License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Address: 1'10 ESTIA LANE
DETAILED DESCRIPTION OF WORK:
BONDING COMPANY:
Name:--Not Applicable
Add ress:
City:
7ip:Phone:
I certify that no worl< or installation has commenced priorpto the issuance of a permit.
St Lucie Countv makes no representation that is granting d permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with any ?'pplicab.le Home owhers As5ociation rules, bvia-wi;i;;d;ijv;;;;i;ih;t mtv resviiiii'proiiii-,''t sucnstructure. Please consult with your Home owners Associatioh and ievi6w'yoLiideei ioilhy iestriitiijns'ilfii.li'ri.'v rilpiv."-'
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt fron1 uncJergoing 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 Nqtice of Commencement may result in your paying twice for
llPlgu:,t"Its to your property. A Notice of .Commencement must he .o..,i-.led unO poitJi'onihe loniitebeforethefirstinipection.'lfyduintendtoobtarrl inancing,consultwithlenderoranattornuVO"i6iu
commencing work or recording your Notice of Cci mencefrent.
Revised 07llsl20t4
REVIEWS FRONT
COUNTER
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
DESIGN
Name:
Add ress:
City:
NGINEER: _ Not Applicabl MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: _- Not Applicabtt
Name:
Add ress:
Phone:
STATE OF FLORIDA
COUNTY OF sr
Signatu re of owner/Lessee/contrac@
(Name of person acknowledging )
Personally Known x OR produc
Type of ldentification Produced
commjssion [r|6. FFe6l45e
(Signature of Notary Public- State of Florida )
Signature of Contractor/License Holder
STATE OF FLORIDA
(Name of person acknowledging
ldentif ication
i6p l\6. FFe61
)
l^l
(Signrture of Notary Public- State of Florida )
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