HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.5/10/16 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (172) 462-1553 Fax: (772\ 462-1,518 Commercial Residential x
Address: 5309 S INDIAN RIVER DRIVE
Legal Description:
Property Tax lD #: 3401-600-001 0-000-5 Lot No
Site Plan Name:Block No.
Project Name:
Setbacks Front Back: _-- Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
2.5 TON 8 KW 16 SEER
worK to ormed u IN ISTT
permrt -appry:
V
T
HVAC
E lect ric T
Gas Tank
Plumbing
Gas Piping
S prin k le rs T
Sh utte rs
Generator
Itr
Windows/Doors
Roof
Total Sq, Ft of Construction:
Cost of Construction: $ 451 0 00 Building Height:
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEE:CONTRACTOR:
N3ms RICHARD GREENFTELD
Address:5309 S INDIAN RIVER DRTVE
City: FT PIERCE State: FL
ZiP Code: 34982 Fax:
phone Ns.772-216-7026
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: 3'108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State: FL
ZiP Code: 34P46 p1y. 772-466-3053
phone y16. 772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or County License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencem"nt ir r"q.,rir"d.-
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION:
CONSTRUCTION I N FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Appticable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is grantlng a permit will a,uthorize the permit holder to build the subiect structurewhich is in qonflict with any dpplicakJle Horiie bwhers Assocratron rutes, oyti-wioi;nS;;v;;;;i;ih;t;;v r;ririli;iirroiii['it sucrrstructure. Please consult with your Home owners Associalioh ana ievi6w'yoijiJeed foi;hi ieilriiticins'i^ifiiit'ri.'v -dplv.""
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 Codes and 5t. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrencv review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms ano accessory uses ro another non-residential use
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty, A Notice of Commencement must be recoided and posted bnlhe jobsite
ion. lf.you intend to obtain financing, consult with lender or an attorney beforecommenctng worK or recording vour Notice ofworK or recorotn UT rce ol uommencement
_ Signature of Owner/
STATE OF FLORIDA
COUNTY Qf sr lucre
Lessee/Agent
The ing instrthis day of _
cHRrsropHER *Lnncer
(Name of person acknowledging )
Notary Public- State of Florida )
Personally Known XPersonally Known x OR produced ldentification
Type of ldentification Produced
-
, :
Commission No.
s
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
( Name^of person acknowledgi ng
ature of Nota-ry Public- State of Florida )
Personally Known X OR Produced ldentificatron
"!jrit'. DANELLE ll WESEMAN
* CFsellsg
EXPIRES Februery 16, 2020
,;;'[i]i4jl Florl
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS