HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUSII BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/30/16 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort Pie,rce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
LegalDescription:
Property Tax lD #:
Site Plan Name:
1 423-805-0035-000-7 Lot No.
Block No.
Project Name:
Setbacks Front Back: _ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14.7 EER WATE:R SOURCE HEAT PUMP
ld tt
VI
lona permrl -
HVAC
E lect ric
Gas Tank
Plumbing
l_leas eiping Shutters
Generator
T
T-
Windows/Doors
Rooftrl_lsprinkters tr
Total Sq. Ft of Construction:So. Ft. of First Floor:
Ut t es: l_l ru*", E t"*Cost of Construction. S 4985.00 Building Height:
CONTRACTOR:
PERMITAPPLICATION FOR: Mechanical
Address: 3870 NORTH A1A1+701
PROPOSED IM PROVEMENT LOCATION :
OWNER/LESSEE:
N3 rns DOUGLAS/LORI HORN Name: CHRISTOPHER P LANGEL
Address: PO BOX 701867 Company: SEA COAST AIR CONDITIONING
City:SAN ANTONIO State: TX Address: 3'108 INDUSTRIAL 3'1ST STREET
ZiP Code: 78270 Fax:FORT PIERCE State: FL
phone ps.260-632-3105 ZiP Code: 34946 p1y. 772-466-3053
E-Mail:phone y16. 772-466-2400
Fill in fee simple Title Holder on next paCe ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantine a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owiers As5ociation rules, bvlaws or and covenants that mav restrict 6r prohibit such
structure. 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, ldo 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 fullconcurrency 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 before
commencing work or recording Vour Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
IN ITIALS
SUPPLEM ENTAL CONSIRUCTION LIEN
DESIGNER/ENGINEER: _ Not Applicable
Ad d ress:
State:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Apolicable
Name:
Phone:
BONDING COMPANY: _Not Applicable
Name:
cHRISToPHER PILANGEL
_ Slgnature of Owner/
STATE OF FLORIDA
COUNTY Qf sr ructe
Lessee/Agent
(Name of person acknowledging )
(Signature of Notary
Personally Known x
Public- State of Florida )
Type of ldentification
Commission No.
STATE OF FLORIDA
COUNTY Qf sr rucrr
CHRISTOPHER P LANGEL
Signature of Contractor
(Name of person acknowledging )
ture of Notary Public- State of Florida )
nallv Known x OR Produced
of ldentification
mmission No.'$?"osfl #.S;#i;':::Jl