HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.7/5/16 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulation Division
2j00 Virginio Avenue, Fort Pierce FL 34982
Phone: (172) 462-1553 Fax: (772) 462-1518 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 500 PULITZER ROAD
Legal Description:
Property Tax lD #:
Site Plan Name:
2308-323-001 0-000-6 Lot No,
Block No.
Project Name:
Setbacks Front Back: -- Right Side:Left Side:
DETA]LED DESCRlPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3.5 TON ,I6 SEER 9 KW
lotr
Y!
tona m s permit - c aporv:
HVAC
E lectric
Gas Tank
Plumbing
l-lcas eiping S h utte rs
Generator
l-l *,noo*s/DoorsTl-lsprinkters tr tr Roof
Total So. Ft of Construction:So. Ft. of First Floor:
tttlUtilities: I lSewer I lSeptic Building Height:Cost of Construction. S 7078.00
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
OWN E CONTRACTOR:
Name J R GORDY
Address: 500 PULITZER RD
Citv: FT PIERCE trl5rare:' -
Zip Code: ]!9!5 Fax:
p h o ne X1 s. 7 7 2-21 6-027 1
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1u. FORT PIERCE 5TaTe:' -
7;p 6s6s. 34946 pvy' 772-466-3053
phone Ns.772-466-2400
E-M ait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
CONSTRUCTION IN FORMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
City
zip:
Sta te:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
Zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: Not Aoolicable
Name:
Address:
City:
Zip: 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 structurewnlcn ls In conlllct wlth 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'youi deed foi any iestrittions Wf ich ma-V afip[. -
In consideration of the granting of this requested permit, I do hereby agree that I will, 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
improve,ments to your property. A Notice of .Commencement must be recoi'ded and losted bnlhe jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney before
ncl di Notice of ComommenctnworK or recorotn our ce mencement
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucre
me
cHRtsroPHER *LRruoer
Signature of Contractor
STATE OF FLORIDA
COUNTY Qf srr-ucre
The forgoing instr.ume was acknowledged before me
this day o ,zdO-uv
CHRISTOPHER P LANGEL
-PaI/fiAh
(Name of person acknowledging )
AJN\l!lt tlontnnu,'
(Signature of Notary-Public- State of Florida )
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
Commission No.Commission No.
1..+". jrq. DANELLE fri wEsEuA||l
Personally Known x OR Produced ldentification
Type of ldentification Produced
nature of trtotJr/fuUt'rEYtatJof Florida )
Revised 07l15
-4tr, Kr ExptRESFebruary 16,2rt20
(,107t 304+:gl Fkn**trrySoaice com
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS