HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _Permit Number:
Building Permit Application
Planning and Development Services
Buildinq and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1,553 Fax: (772) 462-1.578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LO.CATION :
Address: 5511 PALEO PINES CIR
Legal Description:
Property Tax lD #:
Site Plan Name:
'l 3'1 2-500-0009-000-9 Lot No
Block No.
Project Name:
Setbacks Front Bacl<: Right Side:Left Side:
' ,.,-rr..,n | ,,\r- \Ar..' -r-l. II DETAILED DESCRIPTION OF WORK:
'I
LIKE FOR LIKE CHANGEOUT 3 TON 16 SEER 1O KW
ona I worK to ormeo un rs permtt -a ppry:
V
T
HVAC
Electric tr
Gas Tank
Plu m bing
l-lcas eipingft-|. r)pnnKters tlll
S h utte rs
Gene rator
TT Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction. S 5306.00 Building Height:
Name: CHRISTOPHER P LANGEL
Company: LANGEL AIR coNP]IloNl\G
Address: 3108 INDUSTRIAL 31ST STREET
FORT PIERCE State: FL
ZiP Code: 34P46 p6y. 772-466-3053
phone y6.772-466-2400
E-Mail: DANISEACOASTAIR@AOL.CONI
State or Countv License: CMC035421
OWNER/LESSEE:CONTRACTOR:
J1zms MARTHA WILLIAMS
Address:5511 PALEO PINES CIR
g;1y. FORT PIERCE State: FL
ZiP Code: 34951
phone Ns.772-979-3615
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
SU PPLEM ENTAL CONSTRU CTION LI E N LAW IN FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY
Name:
_ Not Applicable
Ad d ress:
City State:
Zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING
Name:
COMPANY: Not Applicable
Ad d ress:
1- itrr'
7ip:P hone;
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countv makes no representation that is Arantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owders Asiociation rules, bvlaws or and covenants that mav restrict cir prohibit such
structure. Please consult With'your Home Owners Association and review'your deed for any restrictions Whlch may apply.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencine work or recording vour Notice of Commencement,
Revised 0711512014 b-nNe-uts$il
cHRISToPHER +LANGEL
STATE OF FLORIDA
COUNTY Qf sr rucre
_ Signature of Owner/ Lessee/Agent
(Namerf person acknowledging )
aJ-uie of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
r V"u<-
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf sr ructr
The forgoing instrument was acknowledged before me
this arH day of MAY
CHRISTOPHER P LANGEL
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
l""n,,*".1'"*
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