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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.7127117 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462 1553 Fax: (772) 462-1578 Commercial Residentia I x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD ll:
Site Plan Name:
1306-'l I 1-0001-000-0 Lot No
Block No.
Project Name:
Setbacks Front
I orrnrlED DESCRTPTToN oF woRK. IL ___" I
LIKE FOR LIKE CHANGEOUT
3.5 TON 15 SEER,lO KW PACKAGE A/C UNIT
rtronalwo perm
Znuo,
l-l ntectrt.
Gas Tank
Plu m bing
l-lcas eiping
l-]sprinkters
S h utte rs T
tr_
Windows/Doors
tr l---lcunuruto,.Roof
Total So. Ft of Construction:
^ 5155,00LOSI OI LOnstruCttOn:5 Building Height:
CONTRACTOR:
J13ms WYNNE BUILDING CORP Name: CHRIS LANGEL
Address: 12804 SW 122ndAVE Company: SEA COAST A/C
State: FL Address: 3'108 INDUSTRIAL 31st STREET
Zip code: iryqq Fax:FT PIERCE State: FL
p h on e 11 s. ( ((BEVE RLY YANAVI CH 203-206-1 67 2)))ZiP Code: 34946 p6y. 772-466-3053
E-Mail: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
Address: 6134 SPANISH LAKES BLVD
CONSTRLJCTION I N FORMATION :
OWN ER/LESSEE:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
I certify that no work or installation has commenced prior to the issuance of a permit,
St.. Lucie County.makes no repre,sentation that is granting a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with any a'pplicable Home owhers Assocratron rures, byii-wi;i;nd;;v;;;;i;ih;i mlv reltriciTi"pioiiif,,t,ucnstructure. PIease consult With'four Home owners assoCiatlon ano revi6w'voiii,I;ed'fo;;ni'rei|rittkin;ilfiiif'"ri .'v".dpiv. "
ln consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and 5t. Lucie Couniy 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
IIPI_ougI.lts, !o your property. A Notice of comm ncement mu recoi'aea anJ p"iiJJljii"tr.r"'i"niit.
betore the tirst inspection. lf.you intend to obtain f ancing, cons itf lender or an attorney beforecommencindwork or recordi ur Notice of Commencement.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
LIEN LAW INFORMATION:EN LAW INFORMATION:
DESIGNER/ENG|NEER: Not ApnnE5ie
Name:
Ad d ress:
Zip: Phone:
MORTGAGE COMPANY: Not Aoolicable
Name:
FEE SIMPLE TITLE HOLDER:
-_
Nor Applicable
Name:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone:
Signature of Owner/Lessee tractor as Agent
STATE OF FLORIDA
COUNTY OIF srLUcrE
The ing
this day o
(Name of person acknowledging )
Signalure of Notary Public- State of Florida )
Personally Known x OR produced ldenti
Type of ldentification Produced
commission No. FF961459
Signature ntractor/License
STATE OF FLORIDA
COUNTY OF
(Name of person acknowledging )
of Notary Public- State of Florida )
Known x OR Produced ldent
55iep l\e, FFe6l