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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Darc. 4t6t2016 Permit Number: Building Permit Application Plonning and Development Services Building ond Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (172\ 462-ISt8 Commercial Residential x PERMITAPPLICATION FOR: Mechanical PROPOSED IM PROVEM ENT LOCATION : Address: 5500 ST LUCIE BLVD P-34 Legal Description: Property Tax lD #: Site Plan Name: 1 430-331 -0002-000-5 Lot No Block No, Project Name: Setbacks Front Back: _ Right Side:Left Side: LIKE FOR LIKE 2TON5KW14 CHANGEOUT PACKAGE UNIT SEER V L] nat worK to rlormed u rs perm tt -a ppry: HVAC E lect ric Gas Tank Plum bing [lcas eiping Shutters Generator [_l *,noo*s/DoorsTSprin klers T T Roof Total Sq, Ft of Construction: Cost of Construction: $ 4075 00 Building Height: DETAILED DESCRIPTION OF WORK: lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. CONSTRUCTION I N FORMATION : OWNER/LESSEE:CONTRACTOR: N3mg ROAD RUNNER TRAVEL,B MATTHEWS Address: 5500 ST LUCIE BLVD City: FT PIERCE 7in CnAo' 34946 phone 116, MATTHEWS 845-416-6628 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: CHRISTOPHER P LANGEL Company: LANGEL AIR CONDITIONING Address: 3108 INDUSTRIAL 31ST STREET g;1y. FORT PIERCE ZiP Code: 34946 72y. 772-466-3053 phone Ns.772-466-2400 E-M ait: DANISEACOASTAIR@AOL.COM State or County License: CMC035421 commencing work or recordi ur Notice of Commencement, 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 qonflict with any {pplicab.le Home owfieis Ass'ociaiion iuiei,"r])i;w;;i;;d;;v;;;ni;ih;i mivliltrici rjibroliilit sucrrstructure. Please consult with'your Home owners nssoCiation-ano ievi6w'voijii;dd'foi;ny';;iiri;ik;ri;iifiiit,'ri jv"idpiv,"" In consid,eration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin 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 lIPI9,u:,t.Its,to your property. A Notice of Commencement must be recoided and iosted bnlhe jobsite betore the tirst inspection. lf.you intend to ob-tain financing, consult with lender or an attorney bef6re Revised 20r4 REVIEWS FRONT COUNTER ZONING REVIEW SU PERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS SUPPLEMENTAL DESIGNER/ENGINEER: _ Nor ApplicabG Name: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Ad d ress: State:Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Ad d ress: BONDING COMPANY: Not Apolicable Name: Ad d ress: _ Signature of Owner/ STATE OF FLORIDA COUNTY Qf sr rucrr cHRrsropHER *rRncrr Lessee/Agent (Name of person acknowledging ) Personally Known x OR produc Type of ldentification ture of Notary Public- State of Florida ) STATE OF FLORIDA COUNTY Qf sr L-ucrr CHRISTOPHER P LANGEL Signature of Contractor (Name of person acknowledging ) Personally Known x OR Produced ldentification Type of ldentification Proouceo Commission No. (Si ture of Notary Public- State of Florida ) DANEL(&m)wEgErTAN MY CoMMtssroN # FF961459