HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/2/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-LSj8 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
3402-609-01 31 -000-9 Lot No
Block No.
Project Name:
Setbacks Front Right Side:Left Side:
o m s permit - c apprv:V
T
HVAC
E lect ric
Gas Tank
Plumbing
l-leas pipine Shutters
Generator
l-l *,noo*s/DoorstrSprinklersrtrRoof
Total Sq. Ft of Construction:
Cost of Construction. g 2700.00 Building Height:
PERMITAPPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION :
Address: 5511 PALM DRIVE
DETAILED DESCRIPTION OF WORK:
ALL NEW DUCTWORK
OWNER/LESSEE:CONTRACTOR:
113mg DEAN CARROLL
Address: 55'11 PALM DR
City:fT PIERCE State: FL
ZiP Code: 34982 Fa x:
p ho ne y1 s. 77 2-465-27 44
E-Mail:
Fill in fee simple Title Holder on next paCe ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: LANGEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE 5IAIC: I L
7in CnAo, 34946 pay. 772-466-3053
phone y16. 772-466-2400
E-M ail: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is 525oo or more, a RECoRDED Notice of Commencement is required,
CONSTRUCTION I N FORMATION :
uvrrilttEttLiltH, wutn ul lgLUluln r Notice of Commencement,
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie countv makes no representation that is qlaltjng a permit will a,uthorize the permit holder to build the subiect strucrurewhich is in conflict with any.ipplicab.le Ho{e owhers As5ociation rules, byliwioi;;d;b"ij;r;iiiii.t mav restrict or prohibit suchstructure, Please consult with'your uome owneii Asioci-a"tioi'.;ll ,€;i6fi'y;iii u"e"c i"ilni';;r?ri:ii"*d;;lriiir.''li .'v"idpiv.""
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes anO it. 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
failure to Record a Notice of Commencement may result in your paying twice forrty. A Notice of Commencement must be recoi'ded and iosted bn"the jobsiteyou intend to obtain financing, consult with lender or an attorney before
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
GINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
Zip: Phone:
cHRrsropHER *rRtcer
_ Signature of Owner/
STATE OF FLORIDA
COUNTY Qf sr rucre
Lessee/Agent
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR produced ldentification
Type of ldentification produced
Commission No,
STATE OF FLORIDA
COUNTY Qf sr r-ucre
CHRISTOPHER P LANGEL
Signature of Contractor/License
of person acknowledging )
gnature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.