HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/11/16 JU+ BY EV Permit Number:
.StLucie Countv��"i"�tBuilding Permit Application RECEIVED
Planning and Development Services OCT 12 2016
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
Address: 3901 ST LUCIE BLVD (COMPUTER ROOM) UU
Legal Description:
PropertyTaxlD q: 1432-221-0001-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
1 DETAIL=ED'DESCRIPTION.OF•W,ORK._ 4r
LIKE FOR LIKE CHANGEOUT
(1) 5 TON DUAL CIRCUIT A/H (2) 2.5 CONDENSERS
SEE ATTACHED ENGINEERING LETTER
Lot No.
Block No.
onaiworKtooe
HVAC
Electric
errormea
unaerimspermn—cnecKau appry:
Gas Tank Gas Piping rl Shutters Q Windows/Doors
Plumbing Sprinklers 11 Generator 1:1 Roof
0
Total Sq. Ft of Construction: _
Cost of Construction: $ 7435.00
S Ft. of First Floor: _
Utilities:cn Sewer E]Septic
Building Height:
OWNERJLES$EE
CONTRACTOR
Name GEN 123 PROPERTIES LLC
Name: CHRISTOPHER P LANGEL
Address:725 E 40th ST
Company: SEA COAST AIR CONDITIONING
City: HOLLAND State:MI
Zip Code: 49423 Fax:
Phone No.
Address: 3108 INDUSTRIAL 31ST STREET
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTIbN
LIEN lA1N INFQRMATION
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please Consult with your Home Owners Association and review your deed for any restrictions which 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 Building 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instr nt as acknowledge( before me
this Kdayof�, 20 tay
CHRISTOPHER PLANGEL
(Name of person acknowledging )
tkz s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFSTLUCIE
The forgoing instr me t was acknowledged before me
this AL day of�20 _Uby
CHRISTOPHER P LANGEL
(Name of person acknowledging )
r LA I Q I QA I I IK AQ N-`! 0,Ak, . /h M 4 0 ft�� V-N Xt AAA _
(Signature of Notary Pub Ice of Florida ) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification _
Type of Identification Produced FIFSPINAt4l Type of Identification Produced
s% DANEIL DAMELLE 6�(yy�yyPpTgEMAI
Commission No. = MY 00(}SIONgFF96t459 Commission No. - Y•= MMISSIONdFF96145
EXPIRES February t6. 2020 .y
'?7yi'a.n _. _.-uMaysa•vice.w'^ '�?i•_01 EXPIRES FebNaN 16, 2020
Revised
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