HomeMy WebLinkAboutBuilding Permit ApplicationALL APPTKABLE.IIIFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
,,,",! ' L( !-lk Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code l?egulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1,553 Fax: (772\ 462-1578 Commercial Residential x
PERMIT APPLICATION Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 16 FLORES WAY
Legal Description:
Property Tax lD #:
Site Plan Name:
3427-1 1 1 -0002-000-5 Lot No
Block No,
Project Name:
Setbacks Front Back: Rieht Side:Left Side:
I
I oErnrrro oEsc-RtPTtoN oF woRK:
LIKE FOR LIKE CHANGEOUT
3,5 TON 14 SEI=R 1O KW PACKAGE UNIT
onat wor orme0 u tn tsIT
permrt -apply:
V
E
HVAC
E lectric
Gas Tank
Plu mbing
Gas Piping
S p rin kle rs
tltl
S h utte rs
Generator
l-l *,noo*s/Doors
tr T Roof
Total Sq. Ft of Construction:
Cost of Construction. S 4972.00 Building Height:
OWNER/LESSEE:CONTRACTOR:
f\6rng WYNNE BUILDING CORP Name: CHRISTOPHER P LANGEL
Address:8000 S U.S. HWY 1, STE 402 Company:SEA COAST AIR CONDITIONING
City: PT ST LUCIr State: FL Address: 3'108 INDUSTRIAL 31ST STREET
ZiP Code: 34952 Fax:6;1y. FORT PIERCE State: FL
Phone No.7in 1-646. 34946 76y. 772-466-3053
E-Mail: (((ROBERT fvlOTTA 508-998-2879)))p hone y1s. 77 2-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.CoM
State or Countv License: CMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Ad d ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
7ip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.. LucieCounty.makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewhlch ls in contlict with any applicable Home Owners As5ociation rules, bvlaws or and covenants that mav restrict 6r prohibit suchstructure. Please consult with iour Home Owners Association and review'your deed for any restrictions Wtrictr mafapptV.
In consideration of the granting of this requested permit, ldo hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srrucrr:
cHRtsroPHER *lnnoer
(Name of person acknowledging )
ature of Notary Public- State {f Florida )
Personally Known X OR Produced ldentification
Type of ldentification
Q.hr, tr
icense Holder
STATE OF FLORIDA
COUNTY Qf sr r-ucre
Ill-t6"[i ]' fl'L fi'x1'
"-l ",l'ff b";"J" "
CHRISTOPHER P LANGEL
PersonallV Known x OR Produced ldentification
Type of ldentification
(Name of person acknowledging )
ure of Notarv Public- State of Flor
JJSNML rcPNNS{ONNBIY
MY cqM$g$loN * FF e41411
EXPIBES: December 6. l0l 9
Bonded thru l'{otary Publb UnderUtitrs
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
IJAIh
COMPLETE
IN ITIALS