HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
oate' [i-l-lla Permit Number:
Building Permit Application
P lo n n i ng o nd Deve lct pme nt Serv ices
Building qnd Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-L518 Commercial Residential x
Address: 9533 WEST ANGLE RD
Legal Description:
Property Tax lD #:
Site Plan Name:
2303-121-0006-000-0 Lot No
Block No.
Project Name:
Setbacks Front Back: _ _ Right Side:
--
Left Side:
LIKE FOR LIKE CHANGEOUT
2 5 TON 16 SEER 1O KW
CONSTRU CTION I N FORMATIO'N :
nal worK to rmeo un rs perm rt -a pprv:
V
T
HVAC
Electric tr_
Gas Tank
Plu mbing
l-le as riping
l-t ^I r5pflnKters tr
S h utte rs
Generator
TT
Windows/Doors
Roof
Total Sq. Ft of Construction:So. Ft. of First Floor:
Utitities: [lr"*", Et"* Buitding Height:Cost of Constructior.1. E 5140.00
Name: CHRISTOPHER P LANGEL
Company: LANGEL AIR CONPITIONING
Address: 3108 INDUSTRIAL 31ST STREET
6;1y. FORT PIERCE State: FL
ZiP Code: 34P46 I I Z-+OO-JUJJ
phone y16. 772-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
DETAILED DESCRIPTION OF WORK:
OWNER/I-ESSEE:CONTRACTOR:
J13rns JUDITH GERSONY
Address: 9533 WEST ANGLE
City: FT PIERCE 5tate:' -
ZiP Code: 34947
phone Ns.772-332-3735
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVE,M ENT LOCATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Addr
City:
ess:
State:
zip Phone
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City:
Zip:
State:
Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip Phone
BONDING COMPANY: _Not Applicable
Name:
Add ress:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makels no representation that is erantins a permit will authorize the permit holder to build the subiect structurewhich is in conflict with anV dpplicable Home Owiers 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 Which may apply.
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
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 recording vour Notice of Cornmencement,
$/ !, rY ,/_
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr rucre
cHRtsroPHER *rerucel
(Name of person acknowledging )
Signature of Notary blic- State of Florida )
Personally Known x _ OR Produced ld
Tvpe of ldentification Produ
Commission No.
Revised 07l15
Signature of Contractor/License Hol
STATE OF FLORIDA
COUNTY Qf sr rucre
CHRISTOPHER P LANGEL
Personally l(nown x OR Produced ldentification
(Name of person acknowledging )
oT Notary Public- State of Florida )
DANELLF ilI.WESEMAI\I
MY coMillffUN s rPgotlss
EXPTRES Febn-rary 16' 2020
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISCIR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTTE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS