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ALL APPLICABLE
Daft. 4128117
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Plo n n i ng a nd Deve lo pnt e nt Services
Building and Code I?egulation Division
2300 Virginia Avenue, l:ort pierce FL 34982
Phone: (772) 462 I5:;3 Fax: (772) 462-157B Commercial Residential x
PERMIT APPLIC]AI"ION Mechanical
llg P_glE q_Lv 1,3_qv EI4 E N I
Address: 7602 BAYARD ROAD
LOCATION:
Legal Description;
Property Tax lD #:
Site Plan Name:
1302-8'10-0024-000-1 Lot No
Block No.
Project Name:
Setbacl<s Front Bacl<: __- Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER B I,(W
CONSTRUCTION I N FORMATION :
VI HVAC
E lectric
Total Sq, Ft of Conslruction:Sq. Ft. of First Floor:nTrUtilities: | --l Sewer I lseptic Building Height;Cost of Constructiorr: $ 4638.00
OWN ER/LESSEE::CONTRACTOR:
J13rns SHARON BRO'WN Name: CHRIS LANGEL
Address: 7602 BAYITRD ROAD Company: SEA COAS-| A/C
City:fTPlERCr State: FL Address: 3'108 INDUSTRIAL 31st STREET
Zip Code: 34951 rii,' FT PIERCE trl)IAIC: I L
Phone No. 772-532-1101 8 ZiP Code: 34946 S1y. 772-466-3053
phone y16. 772-466-2400
Fill in fee simple Title l-lolder on next page ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAIR@AOL.COM
State or County License: CMC03542'l
iivat*;4.;;1;;ti"" i;s2s00;,.rn";",, RaCoRDED N;ti.;;Ti-;r;;*;;ent is required.
DESIcNER/ENGIItJEER: @
Name:
Ad d ress:
City:
zip:
State;
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Add ress:
City:State:Zip: Phone:
FEE SIMPLE TITLE| HOLDER: _ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip:Phone:
I certify that no wor[< or installation has commenced prior to the issuance of a permit.
St' Lucie countv makes no representation that is granting a permit will a.uthorize the permit holder to build the subiect structurewhich is in conflict with any dpplicabie Horiie bwhers Association rutes, byii-ws-oi;;d;bvijh;;t;ii ;i;;y"r;;t-ri.i"jii,'r6iiiiiit,r.Hstructure. Ptease consult With your Home owners RssoCiation anO revi6,i'voijia-eeO'toilni'i"!iri'ii,on, wnrcn may appry.
In consideration of tl-re granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with tfre approved plans, the Florida Building Codes anO"st. l-ucie countyAmendments.
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
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be recoi'ded and iosted bn"the jobsiteion. lf.you intend to obtain financing, consult with lender or an attorney beforeLUrrrrencrng won( or record ur Notice of Commencement,
Revised 07115120
STATE OF FLORIDA
COUNTy OF ,srLUcrE
ledg re me
,20
(Name of person acknowledging )
ure of Notary public-Y of ilon-da')
Personally Known x _ OR produced ldentification
Type of ldentification produced
commission No. FF961459
Signature of Contractor/License Holder
STATE OF FLORIDA
Personally Known x OR produced ldentification
Type of ldentification produced
Commission [rle. FFs6145e
(Name of person acknowledging )
ure of Notary Public- State of Florida )
MY COMMISSION # FF961459
EXPIRES Fobruary 16,2020
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