HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO IVIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 9/30/16 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772\ 462-1553 Fax: (7721 462-1'578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
LegalDescription:
Propedy Tax lD #:
Site Plan Name:
1414-701-0049-000-1 Lot No
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE CH,\NGEOUT
3 TON 1O KW 14.5 SEER
)otltonat!
Eruo.
med uncler tn tstrtr
permrr - c aootv:
Gas Tank Gas Piping
Sprrn klers
Shutters
Generator
l---l *'noo*s/Doors
l_l Etectri.[]pt*oins -ll tr_Roof
Total So. Ft of Construction:t1l of First Floor:-
Utilities: I lsewer I lseptic Building Height:Cost of Construction. S 4581.00
CONTRACTOR:
Name: CHRISTOPHER P LANGEL
Company: SEA COAST Al.R CONDITIONING
Address: 3'108 INDUSTRIAL 31 ST STREET
g;1y. FORT PIERCE State: FL
ZiP Code: 34946 p1y. 772-466-3053
phone Ns.772-466-2400
E-Mail: DANISEACOASTAIR@AOL,COM
State or County License: CMC035421
PROPOSED IMPROVEM ENT LOCATION :
Address: 1'16 QUEEN EL.,GENIA ROAD
DETAILED DESCRIP'IIOI{ OF WORK:
OWNER/LESSEE:
J13ms CARL TETZNER
Address: 21 6 WOODHILL RD
6;1y' NARRAGANSETI
ZiP Code: 02882
phone 11s. 401 -447-4366
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.
CON STRUCTION 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 granting a permit will authorize the permit holderto build the subject structure
wfrich-ii in conflici wiih ahv dbplicable Home Owfiers As5ociation rules, bylaws or and covenants that may, restrict or prohibit such
iiruciuie, please ionsult 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 lwill, in all respects, perform the work
in accordance with the apprroved plans, the Florida Building Codes and St, Lucie County Amendments.
The following building perrnit 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 OWNEtI: Yorur failure to Record a Notice of Commencement may result in your paying twice for
improvementstoyour property. A Notice of Commencement must be recorded and posted on the jobsite
beiore the first ins'pection.'lf ydu intend to obtain financing, consult with lender or an attorney before
commencing work or recordin r Notice of Commencement.
INFORMATION:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Ad d ress:
City:
Zip: Phone:
DESIGNER/ENGINEERT _ Not Applicable
Name:
State:
COMPANY:
-Not
APPlicableFEE SI
Name
LE TITLE HOLDER: _ Not Applicable
Signature of Contractor/License
STATE OF FLORIDA
COUNTY Qf sr ructr
CHRISTOPHER P LANGEL
(Name of person acknowledging )
EXPIRES Fobruefv 16, 2020
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf sr ructe
cHRtsroPHER *rnNcer
(Name of person acknowlr:dging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Pr
Revised 07l15l20l4
REVIEWS FRON'I
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
L3 ^I*"'.stoN # FFe614c'
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