HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (712) 462-1.518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 5511 PALM DRIVE
Legal Description:
Property Tax lD #:
Site Plan Name:
3402-609-01 31 -000-9 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAI.LED DESCR]PTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 1O KW
wor u noer perm tt - c a oolv:
Vr HVAC
Electric I Gas Tank
Plu mbing
TT
Gas Piping
Sprin klers
tltl
S h utte rs
Generator
T
T-
Windows/Doors
Roof
Total Sq, Ft of Construction:So. Ft, of First Floor:
Utilities: l_l ru*u, E t"Cost of Construction : $ 4225.00
OWNER/LESSEE:CONTRACTOR:
J13rns DEAN CARROLL
Address: 551 1 PALM DRIVE
City: FT PIERCE State: FL
ZiP Code: 34982 Fax:
phone Ns.772-465-2744
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 31ST STREET
City FORT PIERCE State: FL
ZiP Code: 34946 p.6y' 772-466-3053
phone 11s. 77 2-466-2400
E-M ail: DANISEACOASTAI R@AOL.COM
State or County License: cMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTIO.N I N FORMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add 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 ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d 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 grantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owiers Asiociation rules. bvlaws or and covenants that mav restrict dr prohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions rdhich 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 CountyAmendments.
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 recording your Notice of Commencement,
Revised 07l15l20l4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY Qf sr r-ucre
as acknowledg re me
-,
20
_ Signature of Owner
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
STATE OF FLORIDA
COUNTY Qf srrucre
CHRISTOPHER P LANGEL
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
Type of ldentification Produced
9!JilesEMAN
MY coMMlssloN # FF961459