HomeMy WebLinkAboutBuildding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/23116 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1,553 Fax: (772\ 462-1"578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION :
Address: 671 3 ALEMENDRA
tegalDescription:
Property Tax lD #:
Site Plan Name:
1 306-500-0'163-000-7 Lot No.
Block No.
Project Name:
Setbacks Front Back:
--
Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
2.5 TON 16 SEER 5 KW
wor u noer s permrl - c aoolv:
Vl HVAC
Electric
Gas Tank
Plu m bing
l---lcas eiping
tr
S h utte rs
Generato r
[-] *,noo*s/Doorstrl_lsprinkters tr Roof
Total Sq, Ft of Construction:Sq, Ft. of First
Utilities: l---lr"*",
Floor:
-It.*Cost of Construction. g 5949.00 Building Height:
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State: FL
zi^ r'^a^. 34946 V1y. 772-466-3053
phone y1s. 772-466-24O0
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
OWNER/LESSEE:CONTRACTOR:
Nsrns SUSAN C-PARR-EISENHARDT
Address : 671 3 ALEIVIANDRA
City: FT PIERCE State: FL
ZiP Code: 34951
phone 11s. 81 0-650-5220
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DETAILED DESCRIPTION OF WORK:
CON STRUCTION I N FORMATION :
SU PPLEM ENTAL CONSTRU CTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: Not Aoolicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
i certify that no work or installation has commenced prior to the issuance of a permit.
St,, LucieCounty makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewhlch ls in contlict with any applicable Home Owners As5ociation rules, bvlaws or and covenantsthat mav restrict cjr prohibit suchstructure.PleaseconsultWithyourHomeownersAssociationandreview'youiAeeafoianyiestriCtionslrif iih-mjv.fpiv.-
In consideration of the granting of this requested permit, I do hereby agree that lwill, 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
Revised 0711512014
_ Signaturdof Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr r-ucre
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
cHRrsroPHER *rnrucEr
(Name of person acknowledging )
Signature of Contractor License Holder
STATE OF FLORIDA
COUNTY Qf sr rucrr
CHRISTOPHER P LANGEL
person acknowledging )
'e of Notary Public- State of Florida )
Personally Known x OR Produced ldentificaticln
Type of ldentification Produced
ZONING
REVIEW
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
INITIALS