HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.5/31/16 Permit Number;
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-L578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED I M,PROVEM E NT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1 301 -61 4-001 9-000-8 Lot No
Block No.
Project Name:
Setbacks Front Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 8 KW
ldit
Vr
ton permtt - c a pply:
HVAC
E lect ric
Gas Tank
Plum bing
Ir Gas Piping
S prin kle rs
Shutters
Gene rator
l-] *,noo*s/DoorstrtrTRoof
Total Sq. Ft of Construction:
Cost of Construction: $ 4468.00 Building Height:
Address: 5505 EASTWOOD DRIVE
DTTAILED DESCRIPTION OF WORK:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I.N FORMATIO.N :
OWNER/LESSEE:CONTRACTOR:
Name: CHRISTOPHER P LANGEL
Com pa ny: _Sl4 t9rSlAlR CONDITIONi NG
Address: 3108 INDUSTRIAL 3'lST STREET
6;1y. FORT PIERCE State: FL
Zip Code: 3!:19 V6y. 772-466-3053
phone yo.772-466-2400
E-M ait: DANISEACOASTAIR@AoL.COM
State or CountV License: CMC035421
1{ums JOE BUTLER
Address: 5505 EASTWOOD DRIVE
City: FT PIERCE State: FL
ZiP Code: 34951
p h o n e 1\ s. 7 7 2-489-2507
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantins a permit will authorize the permit holder to build the subiect strucrurewhich is in conflict with anV applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cjr prohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions ldhich may apply.
In consideration of the granting of this requested permit, ldo hereby agree that lwill, 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
improvementstoyour 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
commencing work or recordi r Notice of Commencement,
Revised 07 ll5l20l4
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENGINEER: _ Not Applicable
Add ress:
State:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
BONDING COMPANY: _Not Applicable
Name:
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr r-ucre
The ing ins
this day of
cHRtsroPHER 4rnltcrr
(Name of person acknowledging )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No,
Stat-e of Florida )
STATE OF FLORIDA
COUNTY Qf sr r-ucre
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
(Name of person acknowledging )
6ture of Notary Public- State of Florida )