HomeMy WebLinkAboutBUILDING PERMIT APPLICATION08/22/2014 12:21 772466'P-c[9 SEACOAST AC PAGE 02
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ALL APPLICABLE INFO Il BE COMPLETED FOR APPLICATION To BE ACCEPTED(
Date: — SCANNED Permit Number:
BY
MW�MW
e County
Building Permit Applicafiion
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
Address: 1202 fleetwood lane
Legal Description:
Property Tax ID #:-3404-806-0003-000-4
Lot No.
Site Plan Name: —
Project Name: Block No.
Setbacks Front -_ Back: F ight Side: Left Side:
like for like change out 3 ton 8kw 16 seer
„
IIfilS „L,, ..lay 1 '^� p• �,,.i•,��,:n• :���ill�cl�'• �,�.m^ 1,113d1f 1 du., ;Gnll,h.•,:It:
Iona W h.. , „ " "; l° i i 11 Il I4 d n' i13'+i 'G°' Qi!iii `u
Or iQ UGasTank
orme un er s permit -c ec a ZWVACapp V 1 JGas P' _
I —I Piping Shutters � Windpws/Doors
1-1 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 4500,00 Utilities,, Sewer Septic Building Height:
•",h,;i,5.. 1i i`�, �1,'•111�n,�l�+e.'�i'ril,I'�L. :':'�'%i 11::11ilil!'ll':n�h'lii't'I �I''d'"llii,'iilll!I!il,r r` 't. -i !,!In ,;I :5,��, h,,.......,,...
lirdn.t...6,..'.'1811�7,'.:.•o��,..,..,....�.,.1..,_.i.'IL„dt'•�.1.1.1,1,,.:.,.....,_.i�!iF.nl.,..�.�-�L.,:e-.41....I�t�;li„�1.�._.L.L.......,���✓E� - m,�'°'i%1,'1�11dYL,.+�,1�,11..!!I{Ii1;T7„��1.1�;iHiG:!flll.,.�,1,.-...a.,��wfr ut ,...:_.....
.Name KAREN BARON
Address:1202 FLEETWOOD LANE
City: FT PIERCE State: FL
Zip Code: 34982 - Fax:
Phone No,466-2400
E-mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
1-:1, ,.-•---ir,...,,;.......... ".Pryuai....m
Name: JOHN LANGEL
Company: SEACOAST A/C
Address: 2601 INDUSTRIAL AVE 3
City: FT PiERCE FL
State:
Zip Code: 34946 Fax: 466-303
Phone No. 466-2400
E-Mail: TLSEACOASTAiRi OL.Com
State or County License: CAC016446
value of construction Is $2500 or more, a RECORDED Notice of commencement Is required.
08/22/2014 12:21
772466,--
SEACOAST AC
PAGE 03
DESIG
Name: _
Address:
otAnnlicablP
City: State;
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone;
u �, :i .::::, ,;...: ,:,; ,� ,,,�, • I :,
�; �. i' iYd��, �� I:li;l!iliff::� lclf�,�, i II� i�;51;�� ii i';;� �•il,'�. ""•I;
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City:
State,
Zip: - Phone:
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
zip' Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
wh ch is n conflict wth any representation that
Assoc atio rulesabylaws or andpcovenants that may restrict oirpr structure uh
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,
accessary structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use
WARNING TO OW ER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to ur propeTol
. A Notice of Commencement must be/recorded an posted on the jobsite
before the first i pection. If intend to obtain financing, consult ith lender oa n attorney before
commencin wo or recordyqr Notice of Commencement- n
Signature of 0/� er/ Agent/ Lelee SiinatLrrehF Contractor
STATE OFRIDA
COUNTY OF STLuar,
The ping ins u n wa cknowledge'i before me
th' ay of 20 14 try
JOHN V LANGELl
(Nam rson ocknoidedizina.K
STATE OF FLORIDA
COUNTY OF sr LUCIt
The forgoing instrument was acknowledged before me
this zz day of AUGUST 20_j_4 by
JOHN V 4ANGEL
;Name of person ac
(5ignat-u-ireot NE)ry Public- e of Florida) (Sign at
Personally Known X OR Produced _ _ rsona
Type of Identification Pro GE pe of
Commission No. ,; M MIISSION OFF1490 2
r .. ' j 8 AuQU*t S0, 201 BC mmis
Flarldallola BervlCe,ca
Revised 07/15/2014.
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
INITIALS
VEGETATION i SEA TURTLE
REVIEW REVIEW
48072 1
MANGROVE
REVIEW