HomeMy WebLinkAboutBUILDING PERMIT APPLICATION02/02/2015 10:31 7724663053 SEACOAST AC PAGE 03
ALL APPLICABLIF INF9 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:Nh
Building Permit Applic tion SCANNED
Planning and Development Services BY
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Farr Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR; Mechanical
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Address: 325 PANDORA AVE
Legal Description:
Property Tax ID #: 1212 797 """' " tO
Lot No,
Site Plan Name:
Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT SYSTEM 1- 2 TON 15 SEER 10KW
LIKE FOR LIKE CHNAGE OUT SYSTEM 2- 5 TON 15 SEER 10 KW
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Mona wor to b rtormed unclert ispermit—c ec a apply;
�HVAC Gas Tank ❑Ga$piping _Shutters L1Windows/Doors
Electric 0 Plumbing 1:15prinkler5 Generator Roof
Total Sq. Ft of Construction: 5q. Ft. of First Floor:
Cost of Construction: $ 16930.00 Utilities: Ln�-ISewer 0Septic Building Height;
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Name Ft PIERCE LODGE NO 248 LOYAL ORDER OF MOOSE INC
Name; JOHN V LANGEL
Company: SETA COAST AIR CONDITIONING
Address:325 PANDORA AVE
City: FT PIERCE State:F�
Address: 2601 INDUSTRIAL AVE 3
City: FT PIERCE. State: FL
Zip Cade: 34951 Fax:
Phone No.429-7744
Zip Code: 34946 Fax: 466-3053
Phone No. 466-2400
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above)
State or County License: CAC016446
if value of construction is $2500 or more, a RECORDED Notice of Commencements required.
.,
02/02/2015 10:31 7724663053 SEACOAST AC PAGE 04
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MORTGAGE COMPANY:
Name:
, Not Applicable
DESIGNER/ ENGINEER: _ Not Applicable
Name:
Address:
Address:
City:
Zip:
State:
Phone:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
`Not Applicable
Address:
Address:
City:
City:
Zip:
Phone:
Zip:
Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorise the permit holder to build the subject structure
which is In co Count
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 t your property. A Notice of Commencement must be re rded and posted on the jobsite
before the first�iispection, If you intend to obtain financing, consult wit)( or aQ attorney before
Signature
STATE W FLORIDA
COUNTY OF sr LUu�s//
The oing instrurtfe� as acknowledge are me
this_,-' of 1 t ZO y
u
STATE OF FLORIDA
COUNTY OF yr Lw1e
The forgoing instrument was acknowledg@¢^before me
this? day of FEa 201py
JOHNV GELl JOHN VLANG6L
(Na person a.know gins J (Name of peI
ckno edgin J
(Signature of Vary Pu is -State of Florida) (Signature of Notaryublic-S to of Florida J
^--DR P od a tification Personally Known x OR Produced Identification
11RJ1� LA Type of Identification Produced
MY COMMISSIONNlPP ' �
pxpisE3 August 50, 20 1) Cam lot TFtACY KAY LANGIrs, )
FlarltleNota 8ervlce.tlam +�1,,)� MYCOMMISSION0FF141072
Revised 07/15/2014
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