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 ond Code Regulation Division
2300 Virginio Avenue, Fort pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1.5t8 Commercial Residential x
PERMITAPPLICATION FOR: Mechanrcal
Address: 5815 PALMETTO DRTVE
Legal Description:
Property Tax lD #:
Site Plan Name:
3402-607-0040-000-8
Lot No
Block No.
Project Name:
Setbacks Front Back: ----- Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 16 SEER 1O KW
ldlt onal Wl
Znuo.
[_lrte.tri.
ormed u th isrI
permtt - c a ppty:
Gas Tank
Plum bing
Gas Piping
S prin kle rs
Sh utte rs
Ge nerator
l-l *'noo*s/DoorstrTTRoof
Total Sq, Ft of Construction:Sq. Ft, of First Ftoor:l-t r-lUtilities: I lsewer I lseptic Building Hetght:Cost of Construction. g 6004.00
|fva|ueofconstructionis52500ormore,aRecoRoeoruoti@
PROPOSED IM PROVEM ENT LOCATION :
DETA]LED DESCRIPTI.ON OF WORK:
CONSTRUCTION IN FORMATION :
OWNER/LESSEE:CONTRACTOR:
J\3 rns ROSEMARY PALERMO
Address: 581 5 PALMATTO DR
City;fT PIERCE
ZiP Code: 34982 7"^'
p h o n e y1 6. 7 7 2-332-0022
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
6;1u. FORT PIERCE
Zip Code: 34946 p1y. 772-466-3053
phone y1o. 772-466-2400
E-M ait: DANISEACOASTATR@AOL.CoM
State or County License: CMC035421
I certify that no work or installation has commenced prior to the issuance of a permit,
st Lucie countv makes no representption that is gl?ltjng a permit will a.uthorize the permit holder to build the subiect strucrurewhich is in conftict with any.ippticatjte Hijriie brirn'ers Asiociaiio; iui;;;6viaw;;i;;d;b"6hjXtiihrt may restrict or prohibit suchstructure' Please consult wittr'r)',cuiHom;o;ie;; Asso'Jiaiiolia"nb'ieii6,ityo* deed for any restricrons wnrcn may appry.In consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Buildingcod;r alJ'stlLr.iu county Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, r.r."n ioo,i, anq accessory uses to another non-residential useWARNING To owNER: Your failure to Record a Notice of commencement may result in your paying twice for
[:iJ[";nTnl:J"".T,1':tFl,],,1]:l^.:^"1s."-nl,:{:ni;!'ry;i.il ;;;;ti;i*d posted on the jobsitebefore the first inspection.'lf ydu intenJig^"!,t1i ii. j".iiie,'ionsutt witnlenoei ;;:fi:it:ir,?? il"?j|:ommencement,
Revised 07115120t4
DESIGNER/ENGINEER _ Not Applicable
Name:
Add ress:
City:State:
MORTGAGE COMPANy: _ Not Applicable
Name:
Ad d ress:
Zip: Phone:
FEE SIMPLE TTTLE HOLDER: _ Not Appticabte
Zip: phone:
BONDING COMPANy: _Not Applicable
Name:
_ stgnarure ot Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
(Name of person acknowledging
re of Notary public- State oiFloridal
Personally Known x OR produced ldentification
Type of ldentification produced
Commission No.
STATE OF FLORIDA
COUNTY Qf sr rucrr
The forgoing instrument was
this day of
Signature of Contractor
CHRISTOPHER P LANGEL
(Name of person acknowledging )
(Signature of NotarV public- State
Personally l(nown x OR Produced ldentification
Type of I dentific+tieqqrp+€€k
mission
EXPIRES Februsry 16, 2020
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REVIEW
VEGETATION
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SEA TURTLE
REVIEW