HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
p31s. 03/30/201€Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort pierce Ft_ j4982
Phone: (712) 462 1.553 Fax: (772) 462-L5:g Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 122 QUEEN ANN COURT
Legal Description: -'-
Property Tax lD #:
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Bacl<: -_-__-- Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 5 TON 16 SEER 1O KW
CONSTRUCTION I N FORMATION :
V
T
a p-ply: -
HVAC | .l Gas Tank
Electric I lplumrring
TI Windows/Doors
Roof
Total Sq. Ft of Construction:Sq, Ft. of First Floor:
Utilities: |l,r.rr"r. I t"*.Cost of Construction: $ 5260.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
J13ms MARGIE DEBOLT Name: CHRISTOPHER p LANGEL
Address: 122 QUENN ANN COURT CompanV: LANGEL AIR CONDITIONING
City:fT PIERCE State: FL Address: 3108 INDUSTRTAL 3t st ST
ZiP Code: 34949 Fax:cit'. FT PIERCE State: FLphone 51s. 77 2-465-1 528 ZiP Code: 34349 p3x. 466-3053E-Mail:----phone J1p. 466-2400
Fill in fee simple Tirle Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTATR@AOL COM
State or Countv License: CMC035421
s permtt - c
flcas niping
l-l sprint<ters
lf value of construction is $2500 o'. .nffi;.;n.''""t i, ^q,"rir"d.
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no repre,sentation that is Et^gltilq-qpplmit will a,uthorize the permit holder to build the subiect structurewhich is in conftict with any a'pfltlcatjte Hor;;bwherc Asiociation rutes, bvia"wfil-rlf ;;;;;:Xi!!f 9t may restrict or prohibit suchstructure' Please consult wittr'youi Home owneii Asl6c-i-a"tioi,';;i ;.;i6fityour deed tor any restricuons wnrcn may appry.
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 plans, the Florida Building cooes anoit, Lucie countyAmendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, tar"un ioom, and accessory uses to another non-residential use
ement may result in your paying twice for
st be recorded and posted bnlhe jobsite
ult with lender or an attornev before
VEGETATION
REVIEW
Revised 0711512014
ENGINEER: _ Nor App|r.ca6iE MORTGAGE COMPANy: _ Not Applicable
Name:
Ad d ress:
State:
FEE SIMPLE TITLE HOLDER: _ Not Appticabte
phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
STATE OF FLORIDA
COUNTY Qf srrucre
cHRtsropHER 4rntcer
( e of person acl<nowledging )
(Signature of Notary public- State of iioriaa f
Personally Known x
_ Signature of Owner/ Lessee/Agent Signaturd of Contractor ense Holder
STATE OF FLORIDA
COUNTY Qp sr rucre
The forgoing instrument was acknowledged before me
this 30 day 61 vnncr
CHRISTOPHER P LANGEL
Personally l(nown x
Type of lde
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
MY COMMTSSION #/FsFSql 46e
-EXFIRES F6bruery' TCZ020