HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 1212912016 Permit Number:
Bu ilding Permit Application
Planning ond Development Services
Buildinq and Code Regulation Division
2.300 Virqinia Avenue, Fort Pierce FL j4982
Phone: (7121 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPL ICATION FOR: To Select from droobox. click arrow at the end of line
PROPOSED IlVI PROVEM ENT LOCATION :
Address: 2890 RAINBOW DRIVE
Legal Description:
Property lax lD #:
Site Plan Name;
3405-41 3-0006-000-2 Lot No
Block No.
Project Name:
Setbacl<s Front Back: Riqht Side: Left Side:
I orrnrLED DESCRTPnoN oF woRK:
I
LIKE FOR LIKE CHANGEOUT
3,5 TON,16 SEER 1O KW
Hn
apply:
shutters f-l*,noo*s/Doors
[--le tectri.Sprin klers Generator fl noor [-' Roor pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities: l-l r"*", I t"*Cost of Construction. S 6748 00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
p366 CHRISTOPHER KERR Name: CHRIS LANGEL
Address: 2890 RAINBOW DRIVE Company:SEA COAST A/C
citv. FT PIERCE
-''t ' _State: FL Address: 3108 INDUSTRIAL 31st STREET
Zip Code:j1381 Fax:FT PIERCE State: FL
p ho ne y16, 772-696-2354 Zip code: ]!919 p.ay. 772-466-3053
E-Mail:phone 11o. 772- 466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL COM
State or Countv License: CIMC035421
tf vatue of constructio" i;$tsoo ;; ;"."liiECo-noE-D N;ii;;i ilin;;n-.;i'';iilA,,ir"d-.
lc oN:- A nAbT tfiis ftermit:-chei-C1ia1t
[-leas eiping
'i
DESIGNER/ENGINEER:
-_
Not Applicable
Name:
Ad d ress:
City:State:
Lip:Phone:
MORTGAGE COMPANY: Not Aoplicable
Name:
Ad d ress:
City:State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: -- Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
City:
Zip: ---_ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes ncl representation that is grantlng a permit will a,utherize the permit holder to build the subject structurewhich is in conflict with any ipplicable Horle owhers nssocratron rures, ovii-wioiiid';;"e;;;iiii.r;t m;vi;itr'rci?i'proiiif it sucrrstructure. Please consult with your Home owners Association and ievi6w'youadeed foi-any ieltriitirini-iihi;h'ni;i';ripl"y.""'
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 addition.s,
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
lmProvg,melts to your property. A Notice of Commencement must be recoided and posted bnlfre jobsite
betore the tirst inspection. lf you intend to obtain financine, consult with lender or an attornev beforebetore the first inspection. lf.you intend to ob-tain financing, consult with lender or an attorney beforecommencing work or recording your Notice of Commencemenr.
STATE OF FLORIDA
COUNTY OF ST LUCIF
CHRIS LANGEL
Personally l(nown ll_ OR Produced ldenl:ification
Type of ldentification Produced
Commission [\e. FFe6l
Revised 0711512014
OVE
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FTORIDA
COUNTY OF srLUcrE
Personally Known X Qft Prndr rnarl lrlan
Type of ldentification
commission No. FFs6.14
(Name of person acknowledging )
e of Notary Public- State of Florida )
.-$HHPliffi:":*:DANEbt.s Ffi IVESEMAII
MY cotu\Rfi8tioN # FFst6145e
EXFIRES February 16, 2020
r'1Q7 l :J06"0i slJ
Signature of Contractor/License
(Name of person acknowledging )
atUre of Notary PLblic- State of Florida )
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGRO
REVIEW
DATE
COMPLETE
INITIALS