HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
DaIe. 04125116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772\ 462-1.518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 121 SE NARANJAAVE
Legal Description:
Property Tax lD #:
Site Plan Name:
341 9-540-01 60-000-3 Lot No
Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRTPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 1O KW
unoer Tnts pe -c aoplv:
V
T
HVAC
E lect ric
Gas Tank
Plumbing
J_leas eiping
t-ttl
S h utte rs
Generator
Ttr
Windows/Doors
RoofIl_lsprinkters
Total Sq, Ft of Construction:So. Ft. of First Floor:
Utitities: l---lru*ur. E t-* Buitding Height:Cost of Construction. 5 5900.00
OWNER/LESSEE:CONTRACTOR:
Nurns GUY EDWARDS
Address: 1 094 FREEPORT RD
City: KITTANNING State:PA
ZiP Code: 16201 Fax:
P hone 111s. 7 24-543-457 9
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 3'lST STREET
6;1y' FORT PIERCE State:FL
Zip Code: ?4949 pry.772-466-3053
phone Ns.772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or CountY License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRU CTION I N FORMATION :
I certifv that no work or installation has commenced prior to the issuance of a oermit,
St. Lucie Countv makes no representation that is grantins a permit will authorize the permit holder to build the subiect strucrurewhich is in conflict with anV applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cir prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions which 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
improvementstoyour 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 attornev before
commencing work or recording vour Notice of Commencemenr.
Revised 07l
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Aoolicable
Name:
Zip: Phone:
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER +LANGEL
_ Signature of Owner/ Lesiee/Agent
(Name of person acknowledging )
(Sig re of Notary Public-
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
Commission
STATE OF FLORIDA
COUNTY Qp sr r-ucrr
CHRISTOPHER P LANGEL
Signature of Contractor
Personally Known x OR Produced ldentification
Commissi
(Name of person acknowledging )
ure of Notary Public- State of Florida )
DANELTE M WESEMAtI
EXPIRES Februery 16,?f20
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