HomeMy WebLinkAboutBUILDING PERMIT APPLICATION08/28/2014 07:43 7724663053 SEACOAST AC PAGE 02
ALL APPLICABLE INFO MIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I � _ O 00
Date: t"jl SCANNED Permit Number:
fit. Lucie
�. cie County
Building Permit Application
Planning and development 5ervices
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
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Address: 6012 MYRTLE DRIVE
Legal Description:
Property Tax ID #: $402-609-0546-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: _ Left Side:
LIKE FOR LIKE CHANGE OUT 2.5 TON 16 SEER 8KW
Lot No.
Block No.
aamoriai wor!(W ne rrormea
1 HVAC Gas Tank
untEerthis permit - cue —&—al
[]Gas Piping
apply:
Shutters
`
❑
-
ElElectric
Plumbing
❑Sprinklers
_
❑Generator
Windows/Doors
❑Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4585.00
S . FtFtj. of First Floor:
Utilities: Sewer []Septic Building Height:
Name JENNIFER BARTOSZEK
Address:6012 MYRTLE DRIVE
City: FT. PIERCE State:Fl,
Zip Code: 34982 Fax:
Phone No. 772-216-8418
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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_>,�arinn^• n.i :"IIn. Lig!rC 1lP.rL Atli 9b�.; .a!'��!, ,:i4'i': � �b.,im:,-�?;t.i}lin,'.in�{iiGdi°!?.••iii:n ...
Name: JOHN V LANGEL
Company: SEA COAST AIR CONDITIONING
Address: 2601 INDUSTRIAL AVE 3
City: FT PIERCE ,_ State: FL
Zip Code: 34946 Fax: 466-3053
Phone No. 772-466-2400
E-Mail: TLSEACOASTAIR@AOL.COM
State or County License: CACOI6446
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
08/28/2014 07:43 7724663053 SEACOAST AC PAGE 03
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DESIGNER/ENGINEER:
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MORTGAGE COMPANY:
Not Applicable
Name.
Name:
_
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:
1
I certify that no work or installation has commenced prior to the issuance of a permit.
isncctanafabaianrslsscatinruaaranpcvanstadstteitscwhch onflit w h y pplceHomOweoiesbylws authorize the
that build
yrerisubject
oprstructure
h buh
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-residentlal use
WARNING TO OWNER. Y r failure to Record a Notice of Commencement ma esult in your paying twice for
improvements to your perty. A otice of Commencement must be rec ded and p ted on the jobsite
before the first inspec . If you pl�tenc�to obtain financing, consult with ender or altto y before
commencing work or cording ur N Ice of Commencement.
Signature of 0
STATE OF Ft
COUNTY OF
O
Theng instrufteafskn.owledged before me
thi ay of 20 14 by
JOHN wMGELl 1 �
(Narrje of oer acknowledging
of
Personally
Type of IdE
Signature
STATE Cf FLORIDA
COUNW OFSTLuaE
The forgoing instrument was acknowledged before me
this zn day of AUGUST . 20-14 by
JOHN V LANGr.L
(Name of pep
(Signature
Personally Known
Type of Identifical
;•' ''' My COMI414S014 #FF14$072
Commission,F°'°1RECommission No.. 0j
wr,v
(407) 18,0153 Fforidallora servIce.awn
1�evised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS
30. $018
SEA TURTLE I MANGROVE
REVIEW REVIEW