HomeMy WebLinkAboutBUILDING PERMIT APPLICATION09/26/2014 14:27 7724663A.9-? SEACOAST AC e-... PAGE 02
ALL APPLICAB NF MU ,5T •BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED Permit Number:
Date: EID
Luce Co ;
. citity
Building Permit Application
Plonning and DevelopmentSeivkes
Building and Code Regulation division
2300 Virginia Avenue, Fort Pierce rL 34982
Phone: (772) 462-1553:. Fax: (772) 462.1578
PERMIT APPLICATION FOR: Mechanical
Comr;nercial x Residential
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ter: f:l•„ __ .. � ��
Address: 3434 INDUSTRIAL 31'$T ST
Legal Description
Property Tax ID #; 1429-50'1r0047-000-9 Lot No..,
Block No.
Site Plan Name: .
Project Name_
Setbacks Front sack: tight Side:` Left Side:
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LIKE FOR LIKE CHANGEOUT
16 SEER 3 1/2 TON 5 KW
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I Iona wor o •e • e orme � un ert Is permit—c ec all ME appy:
Z✓ HVAC Gas Tank ❑Gas Piping . _ Shutters I Q Windo.Ws%Doors
Electric 0 Plumbing El 0 Generator Roof
Total Sq. Ft of Construction:. Q S . Ft. of First Floor:
Cost of Construction: '$ JD �� . Utilities: Sewer Septic Building Height:
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Name ARENAMAX l LC Name; JOHN V LANGEL '
Address: PO BOX 13359 Company: SEACOAST AlC
City: FORT PIERCE' • State: FL Address: 2601 INDUSTRIAL AVE 3
Zip Coda:'
34979 Fax: City: FORT PIERCE State: FL
Phone No. 772-461-1113 , Zip Code: 34946 • . Fax: .
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page (if different E-Mail: TLSEACOASTAIR@AOL.COM ,
from the Owner listed abo�re) State or Caunty1.1cense: CACO,16446
,1
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
09/26/2014 14:27 7724663aF; SEACOAST AC PAGE 03
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DESIGNER/ LNG IN.EER:Not Applicable.` . MORTGAGE COMPANY: Not Applicable
Name: Name:..
Address::..Addrltss ..
City:
State: City: State:
xip:
Zip: Phon.e.. Phone:: ..
FEE SiMPLE TITLE_ .HOLDER.- Not Applicable 130NDING COMPANY: .' Not Applicable
Name:. Narrie:
Address: Address:
City, City:
Zip:— Phone.. Zipr. Phone,
i certify that no work or installation has commenced prior to the, issuance of a permit-. ,
St. Lucie Countyy makes ri'o.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 Horne owners Association and review your deed for any restrictions'whlch may apply.
In consideration of the granting of this requested permit., 1 do hereby agree that i will, inail-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 WNER: Your failure to Record a Notice of Commencement ' ay result in your paying twice for
improve men to your pro erty. A Notice of Commencement must be r corded and po ted:on the jobsite
befiore the.fi t inspettio 11 you 'lhtend to obtain financing, consult WI lender.or an t'torney before
cammencin work or.re rdin our.Notice of Commencement..J.
VA_
signet
of Owner) Agen Lessee Signatur7FF
ontractor/Licens older
STA OF FLORIDA:.: STATE .LORIDA.
COUNTY ClF sTLuuE COUNTY OF sT LUCK
Th going.instrument was acknowledged before me The,forgoing instrument was acknowledged before me
thi�ay of 20 14 bar this 26 day of sEPTUBER 20� 'by
JOHN V LANGELl • JOHN v LANGEL
(Na of per ackrio. a g) (Neme of pe acknowle g
(Signature • S e (Signature of otary ublic• State o I ride )
Personally ow Produ d identification Personall Kno b.R Produced identification
Type of Identi is to rt uc Type of I e o
.,...:_ TRACY KAY L.A� C�Gpp�j
Commission iVo. 'i )" MY COMMIS #FP148072 Commis i t`` i MY iON #FFF etfj `
g dhdL9S
ig --. 1 tPIRO August 30. 20i 8.' �"?�� EXPiFII~S AwgLmt 30, 2 -
rol18
Maem a
Isme.eom
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLAN5 VEGETATION SEA TURTLE. MANGROVE
-COUNTER, REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
IN1TlAL5 .