HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc, 1120117 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulotion Division
2300 Virginia AvenLte, Fort pierce FL 34992
Phone: (772) 462-1,553 Fax: (772) 462-157g Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
3322-601 -0030-000-2 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2.5 TON 16 SEER 8 KW
tonat wor permit -a pprv:
Vr HVAC
Electric tr
Gas Tank
Plu m bing
rtr
Gas Piping
Sprin klers T
Shutters
Generator
TT
Windows/Doors
Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:t-t t-rUtilities: I lsewer I lseptic Building Height:Cost of Construction, S 6455.00
PERMIT APPLICATION FOR:To Select from dropbox, click arrow at the end of line
PROPOSED IM PROVEM ENT LOCATION :
Address: '10115 BAY TREE COURT
CONSTRUCTION I N FOR MATION :
CONTRACTOR:
lf value of construction is S25oo or more, a RECORDED Notice of commencement is required,
OWNER/LESSEE:
113ms ROBERT SNOW
Address: '10'l '15 BAY TREE COURT
6;1y. PORT ST LUCIE
ZiP Code: 34986 P3y'
phone 11s. 772-5'1 9-0539
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
Citv: FT PIERCE
ZiP Code: 34946 p1y, 772-466-3053
phone y1s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no repre;entation that is glgltilq^qp_gtmit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anydpplica6,le HorliJbrirhers AsSociation rules, bvlaws oidnd';;v;;;;i;ihat may restrict or prohibrt suchstructure. Please consult with ri our Home owneis Asioii"aiioi';;b' re;6fi'\,;iii o"e.t i"ilr,\i ruriii:t6,,ii'i,rriiii"iii'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 prans, the Frorida Buirding codes andit. Lrcie countvAmendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, s.r"en roomr anq 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
lflpj:"":nT.?l:J:g.l'^"q9:y,.||:Jl.: "l,g9rT";;"r;;i mtit n" i"Colo"6;i.o posted on the jobsitebetore the first inspection' lf you intend to obtain financing, consult with lendel or an attorney beforeLommencement,
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEWDATE
CO M P LETE
INITIALS
DESIGNER/ENGINEER:_ Not Applicable
Name:
Add ress:
Zip: phone:
MORTGAGE COMPANY: Not Applicable
Name;
Add ress:
Zip: Phone:
FEE SIMPLE TTTLE HOLDER: _ Not Applicabte
Name:
BONDING COMPANY: _Not Applicable
Name:
Signature 5f Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
tractor as Agent for Owner
acKnow
(Name of person acknowledgingj
(Signature of Notary public- State of lon'da )
Personally Known x OR
Type of ldentification prodr.recr
Commission l\9. FFe6
S i g n at u re of Co ntra cto r/L'rc e nse N o-
STATE OF FLORIDA
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known x OR produced ldentification
Type of ldentification produced
commission [\9. FFe614[:'-f,i$il*-#- naxEULE f,i Wesr
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