HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 1124117 Permit Number:
Buildirng Permit Application
Plonning ond Development Services
Building ond Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772\ 462-1578 Commercial Residential x
LegalDescription:
Property Tax lD #:
Site Plan Name:
3409-502-0001 -000-2 Lot No
Block No.
Project Name:
Setbacks Front Back: _. Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 TON 16 SEER 4 KW
CONSTRUCTION I N FORMATION :
rt|onalwor applv:
Z ruo.
I.u.,,.,.
Gas Tank
Plumbing
l-lcas riping
L__t
S h utte rs
Generator
l-l *'noo*s/Doors
tr S p rin kle rs T Roof Roof pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utitities: l_l r"*", E t"*'Cost of Construction' S 4550.00
OWNER/LESSEE:
f\6;ns JOHN KNAPP
Address: 12'I4COUNTRY GARDEN PARKWAY
Citv: FT PIERCE State: FL
7;p 6e6s, 34982 Fax:
p h on e y1s, 7 7 2-201 -2389
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
PERMIT APPLICATION FOR: Mechanical
PROPOSED I M PROVEM ENT LOCATIONI :
Address: 1214 COUNTRY GARDENS LANE
CONTRACTOR:
Name: CHRIS LANGEL
Address: 3'108 INDUSTRIAL 3'1st STREET
Citv: FT PIERCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone 116. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countv makes no representation that is srantine a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owders As5ociation rules. bvlaws or and covenants that mav restrict cir orohibit such
structure. Please consult With'your Home Owners Association and review'your deed for any restrictions uihich 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 Br.rilding 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
Revised 0711512014
Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
Personally Known x OR Produced ldentification
Type of ldentification Produced
(Name of person acknowledging )
re of Notary Public- State of Florida )
Sign atu re
STATE OF FLORIDA
Personallv Known x OR Produced ldentification
Type of ldentification Produced
(Name of person acknowledging )
ture of Notary Public- State of Florida )
iiiihb,sg FloridaNolaryssryi€ Gotn
EXPIRESFebruary 16,ZO2O
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUFIERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS