HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 6/8/16 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virqinia Avenue, Fort Pieru: FL _14982
Phone: (712) 462-1553 Fax: (772) 462-L578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanrcal
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
L.ot No.
Block No.
Project Name:
Setbacks Front Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW PACKAGE A/C UNIT
CONSTRUCTION I N FORMATION :
onel-Wolk-To bp,erforme-d- unde'i thif permit clieck ;lt ILaI epplla
HVAC | | e as rank lcas eiping L-J rnu,,"r,[-l *,noo*s/Doors
Electric fl ptrmbinc Esprint<ters [..-l cun"rutn,.T
Total Sq, Ft of Construction: _
Cost of Construction: $ 4861.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
N3ms WYNNE BUILDING//WAUE %qF_
Address: 12804 SW 122nd AYE
Name: CHRISTOPHER P LANGEL
Com pa ny: !54 e949T Al R CONDITIoNI NG
CitY: Il4ryL State: FL Address: 3'108 INDUSTRIAL 31ST STREET
ZiP Code: 33'186 Fax:citv:loi1a559g SIaIe:' '
Phone 11e. (WAYNE cASE) 561-563-3862 ZiP Code: 34946 p;'y. 772^466-3053
Phone 111o. 772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
rt value-Jco"rtr*ti";lr $2500 o;m;r;, u-nrCOnoro ruoiice oi
E-Mait: DANISEACOASTAIR@AOL COM
State or Countv License: CMC035421
Address: 35 CALLE DE LAGOS
DETAILED DESCRIPTION OF WORI(:
ommencement is rcquired.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
a;+.,,urLy,
7in'
State:
Ph one:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:
zip:
State:
Phone:
FEE SIMPLE TITLE HOLDER: Not Aoolicable
Name:
Ad d ress:
City:
7in.Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
Ciiri'
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation Lhat is grantinp, a permit will aulhorize the nermit holder to huild the subiect structurewhich is in conflict with anv applicable Home Owners Asiociation rules, bvlaws or and covenants that mav restrict cir prohibit suchstructure. Please consult with your Home Owners Association and review your deed for any restrictions r,rihich may a$ply.
In consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the worl<
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
Revised 07lI5l20l
PLANS
REVIEW
[.thr, ), Vq//
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
Commission No.
(Name of person acknowledging )
re of NotaryPublic-
STATE OF FLORIDA
COUNTY Qf sr rucre
CIIRISTOPFIER P LANGET
Personally l(nown OR Produced ldentification
Type of ldentification Produced
Commission No.(Sea l)
Signature of Contractor/License
(Name of acknowledging )
re oI Notary Public- State of Florida )
EEEwrn'-
# FF961459
ry 16,2020
MY COMMISSION # FF961459
EXPIRES February 16,2020
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