HomeMy WebLinkAboutBUILDING PERMIT APPLICATION08/27/2014 08: 51 7724663053 SEACOAST AC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date�91 Permit Number: : gn SCANNED
BY
St. Lucie County
Building Permit Application
Planning and Development ServiCeS
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
I PERMIT APPLICATION FOR: Mechanical I
Address: 3200 n aia 9508
Legal Description:
Property Tax ID #: 1425-600-0044-000-0
Site Plan Name:
Project Name:
Setbacks Front Back. _ Right Side: Left Side:
like for like change out 2 ton 13seer 5kw
unaerTnis Permri—
HVAC LJ Gas Tank L_fias Piping
❑Electric ❑Plumbing OSprinklers
Lot No.
Block No.
LiShutters OWindows/Doors
0 Generator 11 Roof
Total Sq. Ft of Construction: 5 Ft of First Floor:
Cost of Construction: $ 3987.00 Utilities. Sewer []Septic
Building Height:
Name LINDA I CLAUDE HUTSON
Name: JOHN V LANGEL
Address: 2904 DAVID STEWART LANE
Company. SEACOAST A/C
City: LAKE LADY State, FIL
Address. 2601 INDUSTRIAL AVE$
Zip Code: 32159 Fax:
City: FT PIERCE State: FL
Phone No. 352-255,8231
Zip Code: 34949 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 above)
State or County License, CAC01 65446
If value of Construction is 52500 or more, a RECORDED Notice of Commencement Is required.
06/27/2014 08:51 7724663053 SEACOAST AC PAGE 03
BIN GNER/ENGINEER:—NotApplicable
Name:
Address:
City: State:
zip; Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address, --
City:
Zip: _ Phone.,
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.
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
WARM NG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to ycpr property. A Notice of Commencement must be recorded a d posted on the jobsite
before the first ins ction. If y,u Intend to obtain financing, consult with lender r an attorney before
rr rnmonrino urnrk r recordi vour Notice of Commencement.
signature of o n r/ A'
STATE OF RIDA
COUNTY FSTLUCI�
The 'o ing inst m 1
thi*day of
JOHN V I.ANG[LA
(Name of pers a c
I
(Signature o P
dged before me
20 14 by
MY COMMISSION #341
2 {el)
Signature of Contractq%icense
STATE OF FLORID,
CO U NTY 0 F sT Lucle
The forgoing instrument was acknowledged before me
this so day of AUG , 2014 by
JOHN V LANGEL
(Name r
(Signa
A'
Persona y
Type of I' i
Commi
owledging )
August 30, 2018
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE. MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS