HomeMy WebLinkAboutBUILDING PERMIT APPLICATION07/28/2014 09:13 7724663053 SEACOAST AC „I PAGE 02
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 4
lob BY
St. Lucie County
Building Permit Application
Planning and Developmentservices
Building and Code Regulation Division
2300 Virginia Avenue Fart Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical III
Address: 3100 N AIA#506
Legal Description:
PropertyTax ID #: 1425-606.0016-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
LIKE FOR LIKE CHANGE OUT WATER SOURCE HEAT PUMP 3.5 TON 13.10 EER HEAT
IY IHVAC LiGasTank
❑Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5218.00
Sas Piping L—IShutters
Sprinklers 1:1 Generator
S . Ft. of First Floor: �,-
Utilities:,2Sewer 0Septic
Lot No.
Block No.
Windows/Doors
Roof
Building Height:
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Name MAYNARD I HAROLD SCHRUMAN
_
y�1p � ,�-;:I•:wn:: ;I'N:i!��:: i 1, !;i•'kl�l!�i
III . I I I Ali: Il iir u
Name: JOHN V LANGEL
AIA 506_
-Company__SEACOAST A/C_
_Address.3100_N
City: FT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.902-888-7691
Address: 2601 INDUSTRIAL AVE 3
City: FT. PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 772-466-2400
E-Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: TLSEACOASTAIRQAOL.COM
State or County License: CAC016446 1 8283
If value of construction is $R500 or more, a RECORDED Notice of Commencement Is required.
07/28/2014 09:13 7724662053
SEACOAST AC PAGE 03
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Name:
Address;
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: Stater
Zip; Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count�yl makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structurin e- Please consult with your Home Owners Association iandrreview your deed or any restrictions which may applyhibit such
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 W NER: Yo r failure to Record a Notice of Commencement result in your paying twice for
improvem m to your pr perty. A Notice of Commencement must be r orded nd osted on the Jobsite
before the f' st inspeetigfi. If ypu intend to obtain financing, consult wi lend or att�c�iey before
STA,n OF FLORMA
COONTY OF srwcie
The forgoing Instrument was acknowled before me
this 2s day of JuLY 20 by
Personally Known x OR Produced Identification
Type of Identification Produced
NSg,AGtY PUBLIC
Revised 07/15/2014
STATE OF FLORIOA
COUNTY OF srLuciE /
The forgoing instrument was acknowledges before me
this z5 day of JULY . 20 by
JOHN V LANGEL
(Name of perso6�a*cknowled ' g'
(Signature of Nota hlic-Stat lorlda)
Personally Known x OR Produced Identification
Type of Identification Produced
No. Eea_TRACY
MOMS 8/30/2014
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ZONING
SUPERVISOR
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SEA TURTLE
MANGROVE
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REVIEW
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DATE
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DATE
COMPLETED