HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 6/8/16 Permit Number;
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierct: FL 34982
Phone: (772) 462-1,553 Fax (772) 462 1,578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 37 CALLE DE LAGOS
LegalDescription:
Property Tax lD #:
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacl<s Front Bacl<: _,_ Right Side:l-eft Side:
I orrnrrro DESCxTPTToN oF woRr(:
l
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW PACKAGE A/C UNIT
CONSTRU CTION I N FORMATION :
Total Sq. Ft of Construction:
Cost of Construction: $ 4861 00 Building Height:
OWNER/LESSEE:CONTRACTOR:
J13ms WyNNE BUILDING//VALE| IE LYONS Name: CHRISTOPHER P LANGEL
Address:12804 SW 122nd AYE Com pa ny:SEA COAST AIR CONDITIONING
ri+,,. MIAMI State: FL Address: 3108 INDUSTRIAL 3'1ST STREET
Zip Code:_3-3-189 Fax:city:l_ollf_frQE ___ state:j!_
phone 11o. (VALERIE LYONS) 530-560-0746 Zip Code: 3l:19 Vu^. 772-466-3053
phone y1s. 77 2-466-2400
Fill in fee simple Title Holder on next paBe ( if different
from the Owner listed above)
E- Mail: DANISEACOAS IAIR@AOL.COM
State or Countv License: CMC035421
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: Not Apolicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
City:
Zip:P hone:
I certify that no worl< or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is Rranting a oermit will authorize the permit holder to build the subiect structurewhich is in contlict with any 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 rnihich may a$ply.
In consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory Structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney bef6re
commencing work or recordi r Notice of Commencement.
Revised 0711512014
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
acknowledge re me
_, 20
cHRISToPHER +LANGEL
(Name of person acknowled$ing )
ure of Notary Public-of Florida )
Personally l(nown x Produced ldentification
Type of ldentification Produ
Commission No,
, / /.q4/4/f
S
Signature of Contractor/Licens
STATE OF FLORIDA
COUNTY OF s
CHRISTOPHER P LANGEL
PersonallV l(nown x OR Produced ldentification
Tvpe of ldentification Produced
of person acknowledging )
Public- State of Florida )
$AI{ELLE M
f-= VtV COUrt"ttSSlON f,
coMMtsstoN # FF961459
EXPTRES Fobruary rc, 2O2O
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SUPERVISOR
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