HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Requlation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (112) 462-1553 Fax: (772) 462-1518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 8204 WINTER GARDEN PKWY
Legal Description:
Property Tax lD #:
Site Plan Name:
1 301 -605-0362-000-9 Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT 3 5 TON 16 SEER 1O KWA/C SYSTEM
ormeo u permrt - c appry:
Y
E
HVAC
Electric
Gas Tank
Plu mbing
l_lcas Riping S h utte rs
Generator
l_l *,noo*s/Doors
tr flsprintters T T-
Total So. Ft of Construction:Sq. Ft. of First Floor:
Utitities: l_l r.*", E t-* Building Height:Cost of Construction' S 5581'00
OWNER/LESSEE:CONTRACTOR:
113ms MICHAEL LEISEN
Address: 8204 WINTERGARDEN PKWY
State: FLCitV: FORT PIERCE
-ZiP Code: 34951 Fax:
p h o ne 11 s. 7 7 2-464-4 1 80
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Com pany:LANGEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE STare:' -
ZiP Code: 34949 p1y. 772-466-3053
p hone y1s. 77 2-466-2400
E-M ail: DANISEACOASTAIR@AOL.COM
State or CountY License: CMC035421
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:
7in'4rP.
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:
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes no representation that is Rrantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Ow6ers 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 ltihich may apply.
' In consideration 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 recordine vour Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS
Ii: lffiL-, :;"',Tfr y" "ono*1'tB'ffi;'"'"
cHRtsroPHER Arencrl
t2 v//<
_ Signature of Owner/
STATE OF FLORIDA
COUNTY Qf sr rucre
Lessee/Agent
(Name of person acknowledging )
Personal
Type of I
STATE OF FLORIDA
COUNTY Qf sr rucre
The foreoine instrument was acknowledged before me
tnis Valv of ril6Y ,zi ld o,
CHRISTOPHER P LANGEL
Signaturd of Contractor/License
(Name o rson acknowledgine )
(Signiture of Notary Public- State
Type of ldenti
Commission N