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 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 3208 N 25th STREET
Legal Description:
Property Tax lD #:
Site Plan Name:
1 428-7 02-1277 -000-1 l-ot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3.5 TON 16 SEER 1O KW
ldrt onal w(
Znuo.
I rtectric
perm it - c appry:
Gas Tank
Plumbing
l_lcas eiping S h utte rs
Generator
[-l *,noo*s/Doors
tr_S prin k le rs tr tr Roof
Total Sq. Ft of Construction:Sq. Ft. of First
Utilities: l-lr"*ur.
Floor:
Et"*Cost of Construction. S 5195.00 Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:
Address:3208 N 25th STREET
Citv: FT PIERCE State: FL
ZiP Code: 34946
phone pe.772-359-3506
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
6;1y. FORT PIERCE 5tate: I L
ZiP Code: 34946 pvy' 772-466-3053
p hone y1s. 77 2-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a oermit.
St, Lucie.County.makes no repre,sentation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls In contllct wltn any applicable Home Owners Association rules, bylaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With'your Home owners nssoCialioh ana ievi6w'yoiji deed ioi a'ny ieilritticjrii iiriiitr'ma'v iilpiv.""
In consideration of the granting of this requested permit, I do hereby agree that I will, 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
(Name of person acknowledging )
Signature of Notary Public- State of Florida )
Personally Known x
Type of ldentification
Commission No.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr r-ucre
CHRISTOPHER P LANGEL
(Name of person acknowledging )
Personally Known x
Type of ldentifi
Commission No.
re of Notary Public-State of
i"olgsuljo' 2ozo
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
SU PPLE M E NTAL CONSTRU CTION LI EN LAW IN FORMATIO N :
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
State:7ip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress;
Phone:
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone: