HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 4/19/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL j4982
Phone: (1721462-1.553 Fax: (772) 462-1578 Commercial Residential x
Lega I Description:
Property Tax lD #: 3402-609-0638-000-3 Lot No
Site Plan Name:Block No.
Project Name:
Setbacks Front Back: Rieht Side:Left Side:
DETAI'LED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON ,10 KW 16 SEER
nalwor rtormed u n rs permrr -
V!HVAC
Electric
Gas Tank
Plu mbing
l---lcas eiping
l-l sprinkters
S h utte rs
Generator
l---l *,noo*s/Doors
tr tr I-
Total So. Ft of Construction:So. Ft. of First Floor:
Utilities: l_l ru*ur. E t"* Building Height:Cost of Construction: S 541 0 oO
CONTRACTOR:
PERMITAPPLICATION FOR: Mechanical
Address: 6101 HICKORY DRIVE
PROPOSED IM PROVEM ENT LOCATION :
OWNER/LESSEE:
Nsmg DAVID RANDALL Name: CHRISTOPHER P LANGEL
Address: 61 01 HICKORY DRIVE Company: LANGEL AIR CONDITIONING-
City:-FT PIERCE State:FL I Addrurr, 3108 INDUSTRIAL 31ST STREET
Zip Code: 34982 Su*.
phone y6.772-465-7475
6;1y. FORT PIERCE 5raTe:' -
Zip Code: 34:46
-
P2y' 772-466-3053
E-Mail:p hone 11s, 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different I r-vait: DANISEACOASTAIR@AOL COM
from the Owner listed above)State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRU CTION I N FORMATION :
AL CONS 1
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
urLy.
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
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 strucrurewhich is in conllict with any applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any iestriCtions uifriih may apply.
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 concurrencv 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 bnlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attornev bef6re
commencing work or recording Vour Notice of Commencemenr,
Lessee/Agent_ Signature of Owner/
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRtsroPHER *t-Rrucel
(Name of person acknowle{ging )
ature of Notary Public- State of Florida )
Personally Known x OR Produced ldentificatron
Type of ldentification Produced
STATE OF FLORIDA
COUNTY Qf sr rucre
fore me
by
CHRISTOPHER P LANGEL
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission
Signature of Contractor/License Holder
(Name of person acknowledging )
re of Notary Public- State of Florida )
DANELTE sq wEEFfA!'t
wry-uoNlMtssroN ii FFe6 1 4s9
EXPfRES F€bruery 16, ZO2A
Revised 07l15l20I
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS