HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (ll2) 462-1553 Fax: (772\ 462-1.578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION :
Address: 3337 COLUMBRINA AVE
Legal Description:
Property Tax lD #:
Site Plan Name:
3425-703-0020-000-8 Lot No
Block No.
Project Name:
Setbacks Front Back: ---- Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON 14 SEER 8KW PKG UNIT CHANGEOUT
onal worK to ormeo un rs permtt -a ppty:
Y
E
HVAC
Electric tr
Gas Tank
Plu mbing
l_leas eiplng
l-lsprinkters [-
Sh utte rs
G e nerator
Ttr
Windows/Doors
Roof
Total So. Ft of Construction:So. Ft. of First Floor:n[rUtilities: LJ Sewer I lSeptic Building Height:Cost of Construction. S 4500.00
OWNER/LESSEE:CONTRACTOR:
11sms NANCY M NEY
Address: 3337 COLUMBRINA CIR
g;1y' PORT SAINT LUCIE State: FL
7in CaAo' 34952
p hone y1s. 77 2"446-9947
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
LANGEL AIR CONDITIONING
Address: 3'108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State:FL
zt^ r-^a^' 34946 Svy. 772-466-3053
P hone 1t1s. 77 2-466-2400
E-Mait: DANISEACOASTAIR@AOL COM
State or countv License: cMCo35421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY: Not Apolicable
Name:
Ad d ress:
City:State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewhich is in conflict with anV applicable Home Owners Asiociation rules, bvlaws or and covenants that mav restrict dr prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions uihich may a$ply.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, 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 onlhe jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recordin r Notice of Commencement,
Revised 0711512014
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRrsroPHER *urucel
(Name of person acknowledging )
re of Notary Public- State of Florida
Type of ldenti
Commission
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
(Name of person acknowledging )
Notary Public- State of Florida )
_.._v!,,,n,EervN, FFgE14S0
EXp|RES reo*ry 16, 6E|gt)
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS