HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 4128116 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (712lr 462-L553 Fax: (772) 462-t518 Commercial Residential x
Address: 400 SE SANDIA DRIVE
Legal Description:
Property Tax lD #:
Site Plan Name:
3419-540-0208-000-2 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
3.5 TON 14.5 SEER 1O KW
ldrttonal worK to be pertormed uavlY IHVAC I lGas Tank
tntsII
permrt -d a ppry:
Gas Piping
Spri n kl ers
S h utte rs
Gene rator
[--l *,noo*s/DoorsnL-lElectric I lPlumbing tltl I
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities: l---lr"*ur, E t"*Cost of Construction. S 5712.00 Building Height:
CONTRACTOR:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
DETAILED DESCRIPTION OF WORK:
CONSTRU CTION I N FO,RMATION :
OWNER/LESSEE:
J13 ms DAVID/NANCY ROBERTS
Address:400 SE SANDIA DRIVE
PORT ST LUCIE
ZiP Code: 34983
phone 11s, 772-834-9493
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: LANGEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 3'1ST STREET
6;1y. FORT PIERCE 5tare:' -
ZiP Code: 34?43 pvy. 772-466-3053
P hone 111s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL COM
State or Countv License: CMC035421
LIEN LAW INFORMATION
DESIGNER/ENG|NEER: _ t,tot npplicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:7ip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicabte
Name:
Add ress:
City:
zip: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 Countv makes no representation that is granting a permit will a,uthorize the permit holder to build the subiect structurewhich is in qonflict with any,g'pplicalJ,le Ho{e Owfiers Association rules, bylaws or and covenants that mav restrict or prohibit suchstructure. Please consult with'your Home owneis Associatioi''aiia ievi6ti'yoiii a"eua'i"ilnv';;riri;ikj.;;Jriiir.,'iiri'v".dpiv,""
In consid,eration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building codes and it. Lucie countv 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
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be recoided and iosted bn-itre jobsite
ion' lf.you intend to ob-tain financing, consult with lender or an attorney beforecommenctng worK or recordin r Notice of Commencement,
Revised 07 l15l20l4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledgine )
re of Notary Public- State of Florida )
Personally Known x OR produced ldent
Type of ldentification Prod
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr rucrr
CHRISTOPHER P LANGEL
(Name of person acknowledging )
Personally l(nown x OR Produced ldentific
Type of ldentificatronr+rudr
ffi?'l!e,[n":*li::il1:'r,?trftS EXPiRESFeot*ry*.oo' -
MY coMi4rQF!9N # F F s61 45e
- ExPIRECF;dnlary 16' 2020