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ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "' Permit Number:
J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMFANT LOCA ;ION: i
Address:
Legal Description:
Property Tax ID#: N z)'Il —Din 'fer�—� Lot No.
Site Plan Name: ��. Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT 1 !).7
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CONSTRUCTION INFORMATION: _
Additional work to e e orme under this permit —check a apply:
HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing 1:1Sprinklers FIGenerator F� Roof Roof pitch
Total Sq. Ft of Construction- SFt. of First Floor:
Cost of Construction: $5
Utilities:Sewer Septic Building Height:
OWN /LESSEE:
CONTRACTOR:
Nam
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Addre
City: State:FL
Zip Code: ' ax:
Phone No.
E -Mail:
Name: CHRISTOPHER LANGEL
Company. SEACOAST A/C
Address: 3108 INDUSTRIAL 31st ST
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 466-3053
Phone No. 772-466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: DAN ISEACOASTAIR@AOL.COM
State or County License: CMC035421
If value of construction is 52500 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 representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult 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 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for -Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
Theo going in dge fore
this day otruns < 20 y
me
STATE OF FLORIDA
COUNTY OF STLUCIE
The iorfoing ins as k ledg fore
this day of 20 by
CHRIS LANGEL CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
ature of Notary Pu
State of Florida
Personally Known x OR Produced Identification
Type of Identification Produc .. �r�
Commission No.
JUSTINA L HOPMNS40NNELLY
Revised 07/15/2018 " sr'; BorAdThruNotaryPubic Underralters
(Sithature of Notary Public- hate of Florida
I'M
Personally Known x OR Produced Identification
Type of Identification Produced_,
Commission No.
JUSTINA L HopgN&CONNELLY
MV mMMISSW FF 941411
SonM Tnru NOWY Pubic UWeM t m
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS