HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 5t2116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1"553 Fax: (tt2l462-1.578 Commercial Residential x
Address: 3432 ROSELAWN BLVD
Lega I Description:
Property Tax lD #:
Site Plan Name:
2428-702-0003-00-6
Lot No
Block No.
Project Name;
Setbacks Front Back:
-_--
Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 15 SEER 8 KW
ldrt onal work to
Zruo.
Irl"ctri.
un tntsrr
permtt -
Gas Piping
Sprinklers t-ttl
Sh utte rs
Generator
l-l *,noo*s/DoorsT
Total Sq. Ft of Construction:
Cost of Construction. S 4640.00
OWNER/LESSEE:
DETAILED DESCRIPTION OF WORK:
lf value of construction is S25oo or more, a RECoRDED Notice of Commencement is required.
PERMITAPPLICATION FOR: Mechanrcar
PROPOSED I M P,ROVEM ENT LOCATION :
CONSTRU CTION I N FORMATION :
CONTRACTOR:
113rs JEAN HALL
Address: 3432 ROSELAWN BLVD
City: fT PIERCE
ZiP Code: 34982
phone p6.772-979-3858
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: !4NqEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
City: FORT PIERCE
Zip Code: 34946 p1y. 772-466-3053
phone 11o. 772-466-2400
E-M ail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
wrrilttsttuilt6 wut n ul IgLur(]ur 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 ql?-!tj!q a permit will a,uthorize the permit holder to build the subiect strucrurewhich is in conflict with anv dpplicable rloriiJowhers As5ociation rules, bvia"wi;i;;J;;vlj;;Xtrihrt may restrict or prohibit suchstructure. Please consult with'four Home owneis A!-sbtiaiioii'r"n'a'ruui6ritvour deed for any restrictrons wnrcn may appry.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building coaes rnJ"st, Lucie couniy 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 pavinR twice forrty' A Notice of Commencement must be recorded and iostJd'onih" ioUiituyou intend to obtain financing, consult with lender or an attorney bef6ie-
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DA TE
COMPLETE
INITIALS
s.9lltEM_ENTAL coNSrRU cIoN Lt EN LAW
DESIGNER/ENGtNErc
State:Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: -- Not Appticabte
Name:
BONDING COMPANY: _Not Appticabte
Name:
Ad d ress:
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISToPHER +LANGEL
_ Signature of Owner/ Lessee/Agent
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known x OR produced ldentifi
Type of ldentification produ
Commission No,
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
ature of Contractor
(Name of person acknowledging )
ture of Notary State of Florida )
ally Known x OR Produced ldentification
of ldentification Produced
ff#i'its rLm:::'"s*;