HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dare.04t01t2016 Permit Number:
Bu ild ing
Planning and Development Services
Building and Code Regulation Division
2300 Virqinia Avenue, Fort pierce FL 34982
Phone: (777) 462 1_SS3 Fax: (772) 462-15IB
Permit Application
Commercial Residential x
PROPOSED IM PROVEMENT LOCATION :
Address: 10125 GREATWOODS POND DRTVE
Lega I Description:
Property 'fax lD #:
Site Plan Name:
2303-21 1 -0025-000-5
Lot No
Block No.
Project Name:
Setbacl<s Front Ba ck:Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW
tonatw orme0 u s permtt - c apply:Vr HVAC
Electric tr
Gas Tank
Plum bing
l-lcas niping
tltl
S h utte rs
Gene rator
l_--l *,noo*s/Doors
S prin k le rs T
Total Sq, Ft of Construction:Sq. Ft. of First
Utilities: l-l r"*"r.Cost of Construction. S 4678 00 Building Height:
J13mg PERSHTNG tvtOBtLE HOME SALESTGLARNER Name: CHRISTOPHER p LANGEL
Address:901 NW3lstAVE Companv: LANGEL AtR CONDITtONtNG
City:POMPANO BEACH trt)Iate:' 'Address: 3108 INDUSTRTAL 31ST STREET
ZiP Codg; 33069 Fax:City:fORT PIERCE 5TAIC: I Lphone po HERBERT 772-567-S2Bs ZiP Code: 34946 V2y. 772-466-3053
E-Mail:phone 1\s, 772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-M ait : DANISEACOASTATR@AOL.COM
State or County License: CMC035421
rt value ot consrru*io;'r Sr500 * r*Ei ne coRDED Notic;*mmen."."r,t i. *qrir"a,
PERMITAPPLICATION FOR: Mechanrcar
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION IN FORMATION :
OWNER/LESSEE:CONTRACTOR:
I certify that no work or installation has commenced prior to the issuance of a permit.
st Lucie countv mal<es no repre,sentation that is qlu-ltjlq_a p_-ul'mit will a,uthorize the permit holder to build the subiect strucrurewhich is in qonflict with any .jpptl-6ie Horiiiowistruciuie. pret'" ioniurt with-i-ouiHom;&;d;ii!:#i',?iJ?,':"fd'iJ;i6,?uJ3ff3l.Tf":".",T11,?11il,{?}niEf,'#,jr nro'nIii iuct,
ln 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 codes unoit. Lr.i" countv 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
ement may result in your paying twice for
st be recorded and posted onlhe iobsiteult with lender or an attornev before
Revised 071t5120t4
VEGETATION
REVIEW
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:___ Not Applicable
State:phone:
MORTGAGE COMPANy: _ Nor Applicable
Name:
Ad d ress:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
City:
Zip: phone;
pF nl
STATE OF FLORIDA
COUNTY Qf sr r-ucre
Personally Known x
cHRrsropHER AlRncer
(Name of person acknowledgi
nature of Notary public- State of Florida i
Signature of Contractor
STATE OF FLORIDA
COUNTY Qf sr rucre
The forgoing instrument was acknowledged before me
this 1 day of ePntr
CHRISTOPHER P LANGEL
rgn atu re Notary Public- State of Florida
Type of'
Commis
(Name of person acknowledging )