HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 1t13t17 Permit Number:
Building permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1_553 Fax: (772) 462_1.578 Commercial Residential x
Legal Description;
Properly Tax lD #:
Site Plan Name:
1 30'1 -500-0906-000_3
Lot No.
Block No.
Project Name:
Setbacks Front Back: -- Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER 1O KW
CONSTRUCTION I N FORMATION :
rtional work to permtt - c a ppty:V!HVAC
Electric tr
Gas Tank
Plum bing
TT
Gas Piping
S prin kle rs tr
Shutters
Generator
l-l *,noo*s/Doors
l_lnoor
Total Sq. Ft of Construction:
Cost of Construction' S 5498,00
Building Height:
CONTRACTOR:
lf value of construction ts $
PERMIT APPLICATIoN FoR: To select from dropbox, click arrow at the end of line
PROPOSED IM PROVEM ENT LOCATION :
Address: 16 RIO DE PALMAS
OWNER/LESSEE:
Name JOSEpH OSTEROWSKI
Address:540 TONTCA SpRtNG TRATL
6;1y' MANCHESTER
ZiP Cods; 06040
phone 11o, 732-983-1250
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRTS LANGEL
Company: SEA COAST A/C
Address: 3'108 INDUSTRTAL 3i st STREET
City: FT PIERCE
Zip Code; 34946 p2,. 772-466-3053
Phone 111s. 77 2-466-2400
E-Mail: DANISEACOASTATR@AOL.COM
State or Countv License: CMC035421
DETAILED DESCRlPTION OF WORK:
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 a,uthorize the permit holder to build the subiect strucrurewhich is in conflict with any dpplicab[e Horle owhers essocration rutes, bylaws or and covenants thit miv restriciZiirro'friljr sucnstructure. Please consult With !our Home owners AssoCiatioh ano ievi6w'voiiioeeo'ioi"an-ri'reiiritiirjrii'Wfiiit'lir'v iilpiv,""
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the worl<in accordance with the approved plans, the Florida Building Codes and 5t, Lucie couniy 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
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be recoided and [osted bnihe jobsite
ion' lf.you intend to obtain financing, consult witfr lender or an attorney beforeLUrntnenctltg, worK or r r Notice of Commencemenr.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU P ERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENGINEER: _ NoiAppilcablE
Add ress:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
Zip: Phone:
BONDING COMPANY: Not Apolicable
Name:
Zip: Phone:
nature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
ure of Notary
Personally Known x
Type of tdentification prodr
Commission [\9. FFe6145e
Signature of Contractor/License
STATE OF FLORIDA
(Name of person acknowledging )
of Florida )
nally Known x OR Produced ldentification
e of ldentification Produc
mission No. FFs61459S February 16,
i.l: Msdlet-ttssloN # FFs614
EXPTRES February 16'