HomeMy WebLinkAboutBUILDING PERMIT APPLICATION08/22/2014 15:35 7724663053_ SEACOAST AC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $1T� i SCANNED Permit Number:
BY
St. Lucie County
I. '
Building permit Application
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
PERMIT APPLICATION FOR: Mechanical
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Address: 8005 SANTANA AVE
Legal Description:
Property Tax ID #: 1=-604-0096-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: _____._... - . heft Side:
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LIKE FOR LIKE CHANGE OUT 3 TON 9KW 16 SEER
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Additional work o ertormPa under thisperms# — c CK a apply:
�hIVAC Gas Tank Gas Piping Shutters Windows/Doors
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_Sprinklers
DElectric 0 Plumbing . Generator 0 Roof
Total Sq. Ft of Construction: SC Ft, of First Floor:
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Cost of Construction: 5 _ ;�� Utilities. Sewer Septic Building Height'
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Name BARBARA SMITH
Name: JOHN LANGLE
Address: 8005 SANTANA AVE
Com anY�� SEACOAST AIF CONDITIONING
City: FORT PIERCE State: FL
Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: „_. -
City FT FIERCE State_'FL
Phone No, 465-4025
Zip Code 34951 Fax, _
E-Mail:
Phone No. 466-2400
Fill in fee simple Title Holder on next page (if different
E-Mail: Tt,SEACOASTAIR@AO[ .COM
from the Owner listed above) '
State or County License: CA0016446
If value of construction is $2500 or more, a RECORDED Notice of
Commencement is required.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
_ r
Address:
Address:
City;
State:
City:_
State:
Zip: --___-- -- Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
— Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
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 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 Commence e
nay result in your paying twice for
improvements to your property. A Notice of Commencement must borded and posted on the jobsite
before the first inspection. l you)ntend to obtain financing, consultI�nderor- "atto�neybefore
commencing w k 41' recpr�f ngrur Notice of Commencement./ i
Signature of 0 er/ Agent/ Lessee
STAVE OF FCORIDA
COUNTY OF ST LUCIS
The f g instrum t s ackno ledged before me
this I of z0 14 by
J014N V LANGEL'L'
(Name of per ackjoKedging
of NNry P�i1D&,State of Florida )
Type of
on
Signature
STATE OF FLORIDA
COUNTY (IFSTLUCIE
The forgoing instrument was acknowledged before me
this as .. day of AUGUST ._ �0_,• by
JOHN V LANGEL
(Name of per
(Sig
'F., i )' i MY COMM15WUN i6rr! AvuIc
ommissi �'._ EXPIRES August 01t3 F►�
c OFF^p. —
laef) 303-0163 Flor:dallota SCn+la9.eom
Revised 07/15/2014
REVIEWS FRONT ZONING SUPER -VISOR PLANS
COUNTER I REVIEW REVIEW REVIEW
FXPIMIS1 Ai4guet a0, RG1A X _.
VEGETATION SEATURTLE I MANGROVE
VIEW REREVIEW REVIEW
COMPLETE
INiTiAL5