HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 04/1112016 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL j4982
Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 8395 DELPHINIUM COURT
Lega I Description:
Property Tax lD #:
Site Plan Name:
3425-7 03-0326-000-3 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 8 KW PACKAGE UNIT
ldrt
VI
tona er tnrs permtt - c ail Lud apprv:
HVAC
Electric
Gas Tank
Plu mbing
t--l^I lbas Ptptng
l--.lsprint<ters
I Shutters T
T-
Windows/Doors
Roofu_l_l c"n",..to,,
Total So, Ft of Construction:So. Ft. of First Floor:l-l TtUtilities: I lSewer I lSeptic Building Height:Cost of Construction. 5 4085 00
OWNER/LESSEE:CONTRACTOR:
N3mg ROBERT GORDON
Address:8395 SE DELPHINIUM COURT
g;1y. PORT ST LUCIE State: FL
7in r^^A.. 34952 F ax:
phone 11e. 772-878-8535
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Com pany:LANGEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State:FL
7in CnAe' 34946 p1y. 772-466-3053
phone 11s. 772-466-2400
E-M a il: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRU CTION I N FORMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City:
7in'
State:
Phone
FEE SIMPLE TITLE HOLDER: Not Aoplicable
Name:
Add
City
zip:
rCSS:
Phone:
BONDING COMPANY: _Not Applicable
Name;
Ad d ress:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantine a permit will authorize the permit holder to build the subiect strucrure
which is in conflict with anv applicable Home Owiers As5ociation rules, bvlaws or and covenants that mav restrict cir prohibit such
structure, Please consult With your Home Owners Association and review your deed for any restrictions rdhich may apply,
In consideration of the granting of this requested permit, I do 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 on the jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney before
commencing werk or recording vour Notice of Commencement,
_ Signature of Owner/ Lessee/Agent
STATE OF FTORIDA
COUNTY Qf sr rucre
acknowledg re me
_, 20
(Name of person acknowledging )
Personally Known x OR Produced I
Type of ldentification Produced
ent was
ture of Notarv Public- State of Florida
STATE OF FLORIDA
COUNTY Qf sr ructe
The forgoing instrument was acknowledsed before me
this 11 day of APRIL
CHRISTOPHER P LANGEL
Known x OR Produced
/License Holder
(Name of person acknowledging )
s;:lwlsFilt:'*ll'l.tgr
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM PLETE
INITIALS