HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.04/13/16 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort pierce FL 34982
Phone: (7721 462-1.553 Fax: (17 21 462-1,57 8 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1425-701-0079-000-4
Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
3 5 TON 16 SEER 1O KW
tonatwor med under s permit - c aoolv:V!HVAC
Electric
Gas Tank
Plumbing
llcas eiping Shutters
Generator
l-l *,noo*s/DoorstrSprin klers ntl tr Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:.tr_lUtilities: I lsewer I lseptic Building Height:Cost of Construction: $ 5913.00
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION:
Address: 258 BERMUDA BEACH DRTVE
DETAILED DESCRIPTIOT\ OF WORK:
lf value of construction ir SZSOO
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
1\srng BARBARA pOZNtAK
Address:258 BERMUDA BEACH DRTVE
City: FT PIERCE
ZiP Code: 34949
p h o ne 51 s. 7 7 2-51 9-232O
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
City; fORT PIERCE State: FL
ZiP Code: U946 Vuy. 772-466-3053
phone y16. 772-466-2400
E-Mail: DANISEACOASTATR@AOL COM
State or County License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit.
St,. Lucie CountV makes nwhich ii in_coniiit wiii ;"ri:fJrii.tjAt fiS;lfb$Fl?ltilg-t PPi'tit will autho.rizg-tl-e f gimit hoider to buird the subject structurestructuie, Pr6lii io"i,ri with' 'iorli Hdm; dffd;li!:f.';?iJ?,t:"fd'iJi',-6*tl3[,:fliifl";".'.Vll,tlJlil#'Jrl:f,,llT rjii,ro't iitt sucr'
l::?i:lq:t-t]lon.of the grantinS of this requestud p.^rllil, ldo hereby agree that twill, in all respects, perform the workIn accordance with the approved plans, the Florida Building cooesai'JEt, Lucie county Amendmenrs.
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 ioo,iranq accessory uses to another non-residential use
ement may result in your paying twice for
sr be recorded and posted on the jobsite
ult with lender or an attorney before
VEGETATION
REVIEW
Revised 07l
LAW
DESTGNER/ENGINEER:_ Not Applicable
Add ress:
MORTGAGE COMPANy: _ Not Applicable
Name:
Address:
FEE SIMPLE TTTLE HOLDER: _ Not Apph..bb
Address:
Zip: phone:
BONDING COMPANy: _Not Applicabte
Name:
STATE OF FLORIDA
COUNTY Qf sr rucre
(Name of person acknowledffi
(Signature of Notarypubtic- State oif toffil
Personally Known x OR produced
Type of ldentification pr
Signature of Contract icense Holder
STATE OF FLORI
COUNTY @f sr rucre
The forgoing instr was acknowledged before methis day of 20 by
CHRISTOPHER P LANGEL
Florida )
Personally Known x OR pro
(N of person acknowledging
(Signature of NotarV public- State of
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