HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/16/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (1721 462-1553 Fax: (772\ 462-1,578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
Legal Description:
Pnoperty Tax lD #:
Site Plan Name:
1 41 1 -7 09-007 6..000-4 Lot No
Block No,
Project Name:
Setbacks Front Back:Right Side: Left Side:
DIETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOIJT
2I TON 5 KW 14 SEER
onat wor u noer tn tsTT
permtt - c a pply:
Vr HVAC
Electric I Gas Tanl<
Plumbing
Gas Piping
S prin kle rs -tl
S h utte rs
Gene rator
Ttr
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cr:st of Construction: $ 398'1 00 Building Height:
OWNER/LESSEE:
J13rns SUSAN THOMAS
Address: 5167 N A1A 1102
city' IllrExeE State: FL
ZiP Code: 34949
phone 11o. 41 0-674-3355
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
PROPOSED IM PROVEM ENT LOCATIO.N :
Address: 5'167 N 4141102
CONTRACTOR:
Name: CHRISTOPHER P LANGEL
Company: LANGEL AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE 5TaTe:' -
ZiP Code: 34946 Svy. 772-466-3053
phone y6.772-466-2400
E-M ail : DANISEACOASTAI R@AOL.COM
State or County License: CMC035421
lf value of construction is $2500 or nrore, a RECORDED Notice of Commencement is required.
CONSTRUCTION IN FORMATION :
SUPPLEMENTAL CONSTRUCT1ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:
zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:
7ip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
LIP'Ph one:
BON NG COMPANY: _Not Applicable
Add
City
zip:
{Dtl
1e: _
ress
Name
Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subiect strucrurewhich is in contlict with any applicable Home Owners Asiociation rules, bvlaws or and covenants that mav restrict dr orohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any restrictions Which may a$ply,
In consideration of the granting of this requested permit, ldo hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie Countv 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
WARMNG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improve.merts 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 bef6re
comme work or recordi ur Notice of Commencement,
Revised 0711512014
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
acknowledg re me
_, 20
cHRtsroPHER *Lnnoer
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
STATE OF FLORIDA
COUNTY Qf sr rucre
The fg,rgoing instruqent was acknowledged,before me
CHRISTOPHER P LANGEL
of person acknowledging )
gnature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
TVpe of ldentification Produced
Signature of Contractor
o-nue'1e-1;;tt't :r ffi ti MY COMMISSION # FFs6145e
I*J*r"**I:::HSil
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