HomeMy WebLinkAboutBuilding Permit Applicationf.i.nW{\}{g
ALL APPLICABLE IfNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe.7126116 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (172\ 462-LStg Commercial Residential x
Address: 1206 KINGSWOOD LANE
Legal Description:
Property Tax lD #:
Site Plan Name:
3404-807-000 1 -000-3 Lot No
Block No.
Project Name:
Setbacks Front Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 9 KW 21.5 SEER HEAT PUMP
ona rmed un tntsTtr
permtt -apply:
Vl HVAC
Electric tr
Gas Tank
Plumbing
Gas Piping
Sprin klers
Shutters
Generator
l-l *'noo*s/Doors
tr I Roof
Total Sq. Ft of Construction:
Cost of Construction. S 7260.00 Building Height:
lf value of constructir)n is 525OO or more, a RECORDED Notice of Commencement is required,
DETAILED DES(]RIPTION OF WORK:
OWN ER/LESSEIl:CONTRACTOR:
Nsmg JOHN/MELANtE SMTTH
Address: 1206 KINGSWOOD LANE
City:-FT PIERCE State: FL
ZiP Code: 34982 Fax:
p ho ne y1 s. 7 7 2-224-5821
E-Mail:
Fill in fee simple Tittle Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 31 08 INDUSTRIAL 31ST STREET
6;1y' FORT PIERCE State: FL
2;o gs6s. 34946 V1y. 772-466-3053
phone y1s. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
PERMITAPPLICATION FOR: Mechanical
PROPOSED I M I'ROVEMENT LOCATION :
CONSTRUCTIONI I N FOR MATION :
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no representation that is grantjng a permit will authorize the permit holderto build the subiect strucrurewhich is in conflict with anv.{pplicabte ttii{iJbwhers Ad3otiiiio;';uiir;;6iraws or anq covenants that may restrict or prohibrt suchstructure' Please consult with'your Home owrreii associ'-atioi-.nb'revi6ri'vour deed for any restrictions which may apply.
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building coaes arloEt. 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, tcre" room, and accessory uses to anotner non-residential use
WARNING To owNER: Your failure to Record a Notice of commencement may result in your paying twice forimprovements to vour property' A Notice oi corr"*Lhtni'rrtt ue reCo'raeo and posted on the jobsitebefore the first ins'pection.'lf ydu intenO io oUtjin iinr".i"r..onsrrlr rrirh tonrtor ^r ah 1rr^rh^,, r.^r^-^peTore tne llrst tnspection. lt you intend to obtain financing, consult with lender or an attorney beforecommencing work or recording your Notice of commeni"ti.n..
Revised 07l15l20I
Ad d ress:
Zip: phone:
DESIGNER/ENGINEER _ Not Applicable
Name:
Ad d ress:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicabte
Name:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
phone:
BONDING COMPANy: _Not Applicabte
STATE OF FLORIDA
COUNTY Qf srrucrr:
(Name of person acknowledging )
gnature of Notary publ - State of Florida )
OR Produced ldentification
Type of ldentification
Commission No,
\//
STATE OF FLORIDA
COUNTY Qf srrucrr
CHRISTOPHER P LANGEL
Signature of Contractor
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR produced ldentification
Type of ldentification produced
Commission No,6IG-ur hfl wEsEhllAN
LlV COMl,r''SSiON # FFg6145S
s 1l_:g""rssroN # F-;145e
::. EXptREs Febn€ry 16, zo2o
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW