HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.04t07t16 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort pierce FL 34982
Phone: (712) 462-1553 Fax: (7121462-1,StB Commercial Residential x
Address: 9430 MEADOWOOD DR #203
Legal Description:
Property Tax lD #:
Site Plan Name:
1327-7 03-0009-000-8
Lot No
Block No,
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
5 TON 16 SEER 1O KW
ldtt
V
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onat worK to rmed un tn rstrl
permtt -
HVAC
Electric tr
Gas Tank
Plumbing
Gas Piping
Sprinklers tr
S h utte rs
Generator
TT Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. S 5775.00 Building Height:
DETAILED DESCRIPTION OF WORK:
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PERMITAPPLICATION FOR: Mechanical
PROPOSED IMPROVEM ENT LOCATION :
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
J13rg GARY SIMMONS SR
Address:9430 MEADOWOOD DR #203
rit'. FT PIERCE-''t '
-
Zip Code: 34951
phone 116, 772-260-1 058
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name; CHRISTOPHER p LANGEL
Company: LANGEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
City: FORT PIERCE 5Tate: I L
ZiP Code: x4il!p1y. 772-466-3053
Phone 111o. 7 72-466-2400
E-M ail: DANISEACOASTATR@AOL.COM
State or Countv License: CMC03S421
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 Fl?ltjlg r pgrmit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anv dp[li.a6le Hcir;;b,i,h.rr Ass]ociation rutes, bviiwi;i;;d;b";;;Xtiihrt may restrict or prohibit suchstructure' Please consult w'ith rjouiHom;o;;eii Asso;'atio;i;;b'i.iii6'i'you, deed for any restricrrons wnrcn may appry.
]::9i:i9,:tttion.of the granting of this requested permit, I do hereby agree that twill, in all respects, perform the workIn accordance with the approved plans, the Florida Building cooesarlJ'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, r.r""n iooru and accessory uses to another non-residential useWARNING To owNER: Your failure to Record a Notice of commencement may result in your paying twice for
[:lJ:""ifli?41:.u91',,1':lFit il:^,:::^ol^cg1Tencement must be ieiolo"u .no posted on the jobsite,'! i i,ii' if; l:''1'.1 :? : fi : il : i''?l il.?J?3''' "
e ol Lommencemenr,
LAW
DESIGNER/HV
Add ress:
Sta te:Zip: phone:
MORTGAGE COMPANy: _ Not Applicable
Name:
State:Zip: Phone:
FEE SIMPLE TTTLE HOLDER: _ Not Applicable
Add ress:
Zip: Phone:
BONDING COMPANy:
-_Not
Applicable
Name:
STATE OF FLORIDA
COUNTY ef sr rucre
cHRtsropHER ArnruceL
(Name of percon ackn-wl"dffi
e of Notary puUic-ltaG oiFlorioal
Personally Known x OR produced ldentifica
Type of ldentificati
Commission No.
_ Signature of OWner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
The fgeoine instrulment,was acknowledged before me
this ' { oay ot;lh0ft I , 2o trU 5u
CHRISTOPHER P LANGEL
Personally Known x OR produced ldentificauon
Signature of Contractoi ense Holder
(Name of person acknowledging )
ture of Notary Public-ate of Florida )
VEGETATION
REVIEW
Revised 0711512014
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