HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 4125116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax: (772) 462-1.578 Commercial Residential x
Ad d ress:
Legal Description:
Property Tax lD #:
Site Plan Name:
1 306-500-021 2-000-6 Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 5 KW
onal worK to ormed u rs permit -a pply:
VI HVAC
Electric
Gas Tank
Plumbing
l-lcas riping Sh utte rs
Generato r
Ttr
Windows/Doors
RooftrSprin l<lers tr
Total Sq. Ft of Construction:So. Ft. of First Floor:
Ut i I ities : l---l r"*"'. [-] t"*Cost of Construction.S 4763.00 Building Height:
OWNER/LESSEE:CONTRACTOR:
J13rng RICHARD COSTELLO
Address:75 END IVOOR ROAD
City: WESTFORD State:MA
7in cnde' 01 886 Fax:
phone 11o. 978-621 -5026
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 AI R CONDITIONING
Address: 3108 INDUSTRIAL 3'1ST STREET
City:FORT PIERCE 5tate:FL
7in.nAo. 34946 pvy' 772-466-3053
phone Ns.772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
CONSTRUCTION IN FORMATION:
SU PPLEM ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:
AI P.
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Add 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 srantinq a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owiers AsSociation rules, bvlaws or and covenants that mav restrict rir orohibit such
structure. 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, ldo 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
Revised 07l15l2014
_ Signatureof Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr r-ucre
acknowled re me
-,2(N of person acknowledging )
e of Notary Public- State of Florida )
Personally Known x
Type of ldentification Pro
Commission No.
Signature of Contractor
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
nallv Known x OR Produced ldentification
of ldentification Produced
of person acknowledging )
ture oT NotarV Public- State of
DANELLE
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS