HomeMy WebLinkAboutBUILDING PERMIT APPLICATION08/25/2014 06:53 7724663053
SEACOAST AC
PAGE 02
ALL APPLICABLE INFO MCI T BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ a3d -
Date: ' ' SCANNCD Permit Number: I L4 nR
B
., _:.,..: , St. Lucie County
IN SWOON1111W 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 x
PERMIT APPLICATION FOR: Mechanical
Address: 31 SAN LUIS OBISPO
Legal Description,
Property Tax lD ##: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back.: Right Side: Left Side:
LIKE FOR LIKE CHANGE OUT 3 TON 14SEER 10KW PACKAGE* UNIT
Ir JHVAC U Gas Tank
Electric Ej Plumbing
Total Sq_ Ft of Construction-
Cost of Construction: $ 4000.00
3ermit— cheCK all apply:
3as Piping _ Shutters O Windows/Doors
Sprinklers Generator - Roof
S Ft. of First Floor: _
Utilities: Septic
Building Height:
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NameWYNN iALLEN Name: JOHN V LANGEL
Address:12604 SW 122ND AVE Company: SEACOAST AIR CONDITIONING
City: MIAMI _ State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code: 33186 Fax: ___ City' FT PIERCE State: FL
Phone No.989-860-2257 Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 466-2400
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 $25130 or more, a RECORDED Notice of Commencement Is required.
08/25/2014 06:53 7724663053 SEACOAST AC PAGE 03
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DES IGNER/ENGINEI~R: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name' ..,.,..,
Name •
Address:
Address:
City: State:
City: _.
State:
Zip:.._._ Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Nat 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 Assoclation rules, bylaws or and covenants that mrestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictionsay 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 to y r property. XNotice of Commencement must be r le
and posted on the jobsite
before the first inflection. If yo inte,�td to obtain financing, consult wit i lender or Iattorney before
commencingw or record! n Qur otice of Commencement. A /,
Signature
STATE WLORIDA
COU NTYOF sr i.ualr_
Th ,Zing instr m t s a
t day of
JOHN V I"
(Name of
of
Personally K
Type of Idef
edged before me
Zl] 14 1,
Signature
STATE OF FLORIDA
COUNTY OF ar 4uPrE
The forgoing instrument was acknowledged before me
this.!'--- day of AuG 20T4 by
JOHN V LANGEL
(Name
Personally
Type of Id(
MY COMMISSION c��c��Fi 49072
Commissio ' qu ust3a1)2018 Commis
�;ar. . 9
s9eAtsa RlariGaNa�a Sorvtce.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
INITIALS
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MY COMMISSION— {�"'-M-
-��'Aupuat P0., 1g
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW