HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 4127116 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL i4982
Phone: (712) 462-1.553 Fax: (772) 462-L518 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5159 N A1A #413
Legal Description:
Property Tax lD #:
Site Plan Name:
141 1-7 06-0017 -000-4 Lot No
Block No,
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
2 5 TON 14 SEER 8 KW
onal worK to rme rs pe
Vr HVAC
Electric
Gas Tank
Plu mbing
i-lcas riplng
L__l
S h utte rs
Gene rator
l-l *,noo*s/Doorsul_lsprint<lers tr
Total Sq. Ft of Construction:
Cost of Construction: $ 4263 00
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATIO N :
owNER/LESSEE:CONTRACTOR:
N3ms ARTHUR MORIN
Address: '1'l REDWOOD TERRACE
WILMINGTON State:MA
ZiP Code: 01887
phone 11s. 978-81 5-91 67
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
City: FORT PIERCE Srare:' -
Zip Code: 11e46 p1y. 772-466-3053
phone Ns.772-466-2400
E-Ma1: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:
Zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add
City
zip:
ress:
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zp P hone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie County makes no representation that is Rrantins a permit will authorize the permit holder to build the subiect strucrurewhich is in conflict with anv dpplicable Home Own=ers As5ociation rules, bvlaws or and covenants that mav restrict dr orohibit suchstructure. Please consult With iour Home Owners Association and review'your deed for any restrictions uihich 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
improvements to your 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 attorney before
commencing work or recordi ur Notice of Commencement.
Revised 07l1
_ Slgnature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr r-ucre
(Name of person acknowledging )
ture of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Signature of 'Contractor
STATE OF FLORIDA
COUNTY Qf srructe
acknowledged before me
_,20 by
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
(Name of person acknowledging )
ature of Notary Public- State of Florida )
ffi:fqii
MY COMMISSIoN fl FF961459
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
SEA TURTLE
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MANGROVE
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