HomeMy WebLinkAboutBuilding Permit Application SEACOAST SHEET METAL PAGE 03
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
RECEIVED
Building Permit Application APR 2 1205
Planning and Developm ent Services
Building and Code Regulation D;Wslon
2300 Virginia Avenuc,Fort Pierce FL 34992
Phone- (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: MeChanical
Address: 6012 ADONIDIA PLACE
Legal Description:
.ff. 3410-503-0371-000-3
Property Tax ID_ Lot No.—
Site Plan Name, Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE CHANGE OUT 3 TON 8 KW 16 SEER
P_ erthis permit—check antnalapp y'
ZHVAC Gas Tank
7Gas Piping FIShutters Windows/Doors
Electric Plumbing 7Sprinklers Generator Roof
Total Sq. Ft of ConstruWon: SCI.Ft.of First Floor:
Cost of Construction:$ 5720.00 Utilities: Sewer Septic Building Height:-
TWO
Address:6012 ADONIDIA PLACE Company: SEACOAST AIR CONDITIONING
City; FT PIERCE State. Address. 2601 INDUSTRIAL AVE
Zip Code: 34982 Fax: City: FT PIERCE
Phone No.302-293-1054 Zip Code: -34946 Fax: 466-3063
E-Mail: Phone No. 466-2400
Fill in fee simple Iltle Holder on next page(if different E-Mail: TLSr-ACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction is S2500 or more,a RFECOROED Notice of commencement 13 required-
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^ SEACOAST SHEET METAL PAGE 04
DESIG NER/ENGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip; Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: Cltv:
zip, Phone: ZIP: Phone:
I certify that no work or inST21lation has commenced prior to the issuance of a permit.
St.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con,71[ct with any applicable Home Owners,Asscriation 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 afull concurrency reView;room additions,
accessory structures,swimming pools,fences,walls,signs,screen roorns and accessory uses to another non-resIdential use
WARNIN6 TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improveme, tt!o your property, A Notice of Commencement must be recorded and posted on the jobsite
before the inspectiot)� If you intend to obtain financing,con5ult wy lender or an attorney before
commencl 71 %t4ork or recording your Notice of Commencement, ZIA
A. VAV . /
0�/ Y/�' s
Signa- e f Owne Le e/ gent Signatur f Contractor/Li nse Holder
— ' f
STAT OF FLORIDA S E OF FL
The Oing instmm%A"as acknowledgej-�efore me The forgoing instrument was acknowledSTILI;&ore me
(Name rson no 11 ing) A(Nameof on acknowled,
of p
(51 g 6—9t u r e Of No�"I icAtpMrUf�767_ljd a I (Signature of ar 4PubPc-S&`of—FrQndaT--
Personally Known X OR Produced Identification Pers �aj I qp.wn tification
Type of Identification Produced Type gkitcot (MCkIV 1! A
Aksgitn1l;3U,20f13
my COM4
my COMMISS10
pIRES Aug
pIRP—S Aug '51L
Revised 07/15/9
LtOOT
REVIEWS FRONT ZONING SUPERV[SOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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