HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 1011412016 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772lr462-1.553 Fax: (772\ 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 4'101 AVE. Q
Legal Descripl;on' SUNLAND GARDENS-SECTION 4 BLK 45 LOT 'l
Propefty Tax lD #:
Site Plan Name:
2406-506-0001 -000-2 Lot No. 1
Block No. 45
Project Name: HERMAN MITCHELL SR
Setbacks Front Back: _- '- Right Side:Left Side:
DETAILED DESCRIPTION OF WORK;
LIKE FOR LIKE CHANGEOUT
OCy f iL( Z*1;rr Ltrrrt 5KW
\l-o Sx-a,t-
onalworK to un is perm it -a pply:
V
T
HVAC
Electric
Gas Tank
Plum bing
lleas rlping Shutters
Generator
tr
T-
Windows/Doors
Rooftr_l_lsprinkters tr
Total Sq. Ft of Construction:Sq. Ft. of First
Utilities: l_l r"*",
Floor:
Et"*Cost of Construction. S 4943.00 Building Height:
OWN ER/LESSEE:CONTRACTOR:
Nsms HERMAN MITCHELL SR
Address:4101 AVE. Q
City: FT PIERCE State: FL
ZiP Code: 34947 Fax:
p ho ne 11s. 7 7 2-525-01 1 6
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER P LANGEL
Com pany:SEA COAST AIR CONDITIONING
Address: 31 08 INDUSTRIAL 31ST STREET
6i1y. FORT PIERCE State: FL
ZiP Code: 34946 pay. 772-466-3053
phone 116. 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.CoM
State or CountY License: CMC03!421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:
Ltv,
State:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City:State:Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: Not Apolicable
Name:
Address:
City:
zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. [ucieCounty.makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls In confllct wlth any applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict <jr prohibit suchstructure, Please consult With your Home owners Association and review'your deed foi anv iestliCtions lriniih-miv.[piv. -
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 full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Christopher P Langel Drsrar y sr9ned by chfistop ror P Langel
D.rsi 2016 10 14 16:36:304 00
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qf srr-ucre
cHRtsropHER 4rnncer
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Qf srrucre
The forgoing instrument was acknowledged before me
this _ day of
CHRISTOPHER P LANGEL
(Name of person acknowledging )
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
of Notary Public- State bf Florida )
MY CoMMtsstoN # FF 941411 MY CoMMtsStoN # FF 941411
Bonded Tlru l,lotary Pubh Underrfteo
(Name of person acknowledging )
ature of Notary Public- State of Florida )
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission No.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS