HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 512116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax: (772) 462-1,518 Commercial Residential x
Address: 10139 WILD QUAIL DRIVE
Legal Description:
Property Tax lD #:
Site Plan Name:
3322-621-0029-000-4 Lot No
Block No,
Project Name:
Setbacks Front
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER KW
na m s permrT - c a00tv:
V!HVAC
Electric
Gas Tank
Plu mbing
l_lcas eiping
l---lsprinHters
S h utte rs
Generator
l_l *,noo*s/Doors
tr tr T
Total So. Ft of Construction:Sq. Ft. of First
Utilities: l-lru*",
Floor:
Et"*Cost of Construction: $ 5643 00 Building Height:
OWNER/LESSEE:CONTRACTOR:
Nu'g EDWARD MATTHEWS
Address: 10139 WILD QUAIL DRIVE
City: PORT ST LUCIE trl5tale:' -
7i^ a^"1o. 34986 Fax:
phone p6. 631 -83'l -5933
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
Citv'FORT PIERCE State: FL
Tin anAo' 34946 p1y. 772-466-3053
p hone 11s. 7 7 2-466-2400
E-Mail: 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 :
DESIGNER/ENGINEER: _ Not Applicable
Na me:
Add ress:
City:
7in.4r 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:
7in'Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
City:
zip:P ho ne:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holder to build the subiect strucrure
which is in conflict with anv applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cir prohibit such
structure. Please consult with your 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 recording Vour Notice of Commencemenr,
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRrsroPHER *lntoer
(Name of person acknowledging )
Public- State of Florida )
OR Produced ldentPersonally Known x
Type of ldentification
Commission No.
STATE OF FLORIDA
COUNTY Qf sr rucre
The forgoing instrument was acknowledged before me
CHRISTOPHER P LANGEL
Signature of Contractor
ature of Notary Public- State of Florida )
allv l(nown x OR Produced ldentification
of ldentification P
ission No.
(Name of person acknowledging )
;i-:l*txt"*l[::lI'e*lw:r;11;
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
CO M P LETE
INITIALS