HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
Date: 03/12/2020 Permit Nun ber:,-
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Building Permit App{'c
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Planning and Development Services P i.
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Building and Code Regulation Division -� i
2300 Virginia Avenue,Fort Pierce Ft 34982 St.. I_I_.ide Cn�i;7t%.
Phone: (772)462-1553 Fax:(772)462-1578 Commercial 4Residentia1--X— ----_-
PERMIT APPLICATION FOR: Mechanical I
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Address: 5306 hickory dr
Legal Description:
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Property Tax ID#: 3402-608-0459-000-1 Lot No. j
Site Plan Name: Block No.
Project Name: eileen tilton i
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGEOUT DUCT WORK
see attached paperwork
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Additional work to be er orme un er this permit—check all that appy:
HVAC Gas Tank F]Gas Piping Shutters Windows/Doors11 ,
Electric El Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor: i
Cost of Construction:$ 5888.00 Utilities: _Sewer Septic Building Height:
131NENER/I ESSEa � sf jS�C�?I�TRAC�T�OR „ £ ;
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Name_eileen tilton Name: CHRIS LANGEL
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Address: 5306 hickory dr Company: SEA COAST A/C
city; fort pierce state: fl Address:
3108 INDUSTRIAL 31st STREET I
Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No. 772-332-8272 Zip Code: 34946 Fax: 772-448-4416
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E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: INFO@SEACOASTAiR,COM
from the Owner listed above) State or County License: CMC035421
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEI�I N MAIL6 tUCT��ON IIEN tA�tll INIFQRMA I� �; ��<, M k � �t'
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: i
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: i
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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 j
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite I
before the first nspection. ( yo 'ntend to obtain financing, consult with lender or an attorney fore
commencingw rk or reco t our Notice of Commencement.
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Signature w er/Lessee/Contractor as Agent for Owner Signature f ntractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF ST LUCIE COUNTY O F ST-CIE
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The forgoing instrument was acknowledge(Before me The forgoing instrument was acknowledged before me
this 1? day of march 20 y this 2 day of march 20by
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CHRIS LANGEL'� CHRIS LANGEL i
(Name of person acknowledging) (Name of person acknowledging) 1
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ignature of No ary Public-State of Florida} (S' ature of Nota Public-State of Florida}
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Personally Known X OR Produced Identification Personally Known X OR Produced Identification j
Type of Identification Produced Type of Identification Produced I
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Commission No. GG04os ,• y¢;:''.,; JUSTIWaINOPKINSCONNELLY Commission No, GG940
JUSTINA ,HO (INS CONNELLY i
MY COMMISSION 8 GG 840562 � MY COMMISSION#GO 940562
EXPIRES*Danamhm p tq or`EXP1 acem et ,2023
••,�f..•` Bonded fire Notary Public Underwitera +�''o{pk°P Bonded Thry Nolery Puhlfo UndBtw�ltere
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE i
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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