HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APP CABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SC Permit Number:
St. Lucie COLInty
Building Permit Application
Plvnning 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: 205 N 3TTH STREET
Legal Description:
Property Tax ID #: 2408-603-0108-000-6 Lot No.
Site Plan Name:
Project Name:
Setbacks Front_ Back: Right Side:
LIKE FOR LIKE CHANGE OUT 4 TON 16 SEER 10 KW
I .IHVAC L.,—_l Gas Tank "Gas Piping
11Electric 0 Plumbing ❑Sprinklers
'total Sq. Ft of Construction:
Cost of Construction: $ 4914.00
Name LORRAINE BUXTON
Address:205 N 37TH STREET
Block No.
Left Side:
Shutters Windows/Doors
Generator Roof
S . Ft. of First Floor: _
Utilities: El Septic
City: FORT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No, 464.0295
E-Mail:
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
Building Height:
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Name: JOHN LANGEL
Company: SEACOAST AIR CONDITIONING
Address: 201 INDUSTRIAL. AV E3
City: FT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 466-2400
E-Mail: TLSEACOASTAIR@AOL.COM
State or County License: CACO16446
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
( 5 � - 9�f
ZO 39d8 Od 1Sd0Od3S £50£99PZLL 6£:L0 VTOZ/LZ/60
Not Applicable
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 A
Name: i
cable
Address:
City:
Zip: — Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
which is in conflicmt with anrepresentation llF that is tAssoc ationir le;,bylaws pr andpcovenants ihec build the 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, per -form 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
improveme is to yo r property. A Notice of Commencement must be re before the first insp ion. If you intend to obtain financing, consult wire rdedd posted an the jobsite
der anan aye atto-,ney beforecammen ' work a -din our Notice of Corrimfanromorr
sigma of OwnAgent/ Lessee JSignature of �ntractor/Lice Holder
ST E QF F!0 Dq STATE O LORIDA C UNTYOFb7Lucie COUNTYOFsrLu�ie
The f�ty�oing instr ,acknowledged before me
this (} day of 20 14 by
JOHN V LANGEL-k
0,
ature
of
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No, ,
TRACY KAY 1A14e072
1gp(pIRES August 30, 2011B
REVIEWS 1 FRONT I ZONING
COUNTER REVIEW
INITIALS
The forgoing instrument was acknowledged before me
this +b day of ScpT 2014 by
JOHN V LANGEL _
(Name of person�l:firog
e
(Signatur ofg Notaq, Publi St a of Florida)
Personally \KnownKnown x OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
MY CCMMISDION #FF146072
EXPIRES August 30, 2o1a
SUPERVISOR PLANS__
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW
60 39Vd Ob 1SVOOV3S E90E99VZLL 6E:LO VZOZ/LT/60