HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/7/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-L518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 408 SE GASPARILLA AVENUE
Legal Description:
Property Tax lD #:
Site Plan Name:
341 9-530-01 07-000-3 Lot No.
Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 1O KW
onat wor c no t-c apprv:
V
T
HVAC
Electric
Gas Tank
P lu m bing
l_leas eiping Sh utte rs
G enerator
trtr
Windows/Doors
Rooftrl-l sprint<ters tr
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
r, Esewer Er.Cost of Construction; $ 4500 00 Utilities:l lSewerl lSeptic Building Height:
Name: CHRISTOPHER P LANGEL
Company: LANGEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State: FL
Zip Code: 3t:49 772-466-3053
phone y16. 772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or CountY License: CMC03542'1
OWNER/LESSEE:
N3Tng ROSE MUSARRA REVOKEABLE TRUST
Address: 6466 CLAYTON AVE
citv. ST LOUIS
-'. t ' _State:MO
ZiP Code: 63139
phone Ns.772-204-5973
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
SU PPLEM ENTAL CONSTRU CTION LI EN LAW I N FORMATIO N :
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:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
City:
zip: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 srantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owiers AsSociation 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 r,rihich may apply.
In conslderation of the granting of this requested permit, I do hereby agree that I will, 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
commencins work or recordin r Notice of Commencement.
Revised 07ll5l
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucrs
(Name of person acknowledging )
gnature of Notary Public- State of Florida
Personally Known x OR
Type of ldentification
Commission No.
cHRtsroPHER 4lnnorl
STATE OF FLORIDA
COUNTY Qf sr rucre
Personally Known x OR Prod
Type of ldentific
Signature of Contractor/License Holder
(Name of person acknowledging )
ature of Notary Public- State of Florida )
*"$T-c,'#r
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COM PLETE
INITIALS