HomeMy WebLinkAboutBuilding Permit Application 04/28/2015 08:35 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE(INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date° f10 — � Permit Number:M. 4(e<
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34981
Phone: (772)462-1553 Fax: (772)462-7578 Commercial Residential x
PERMIT APPLICATION FOR, Mechanical
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Address: 3772 SAGE CT �T
Legal Description:
Property Tax ID#: 3425-703-0260-400-2 Lot No,3
Site Plan Name: Block No. 26
Project Name:
Setbacks Front Sack: Right Side: Left Side:
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LIKE FOR LIKE 3.5 TON 14 SEER 8KW A/C SYSTEM
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ACIC11tional wor oe( Orme un ert Is permit—c ec a appy:
HVAC L=J Gas Tank alias Piping _Shutters Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 4525 UtilitiestSewer Septic Building Height:
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Name JOYCE COOPER Name: JOHN V(..ANGEL
Address:102 VIKING OR Company: SEACOAST AIC
City_ PORTSMOUTH State:R I Address: 2601 INDUSTRIA(_AVE 3
Zip Code: 02871 Fax: City: FORT PIERCE State:FL
Phone No.618-0695 Zip Code: 34946 Fax: 772-466-3053
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: CAGO16446
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
04/28/2015 08:35 7724662417 SEACOAST SHEET METAL PAGE 04
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DESIGNER/ENGINEER: Not Applicable 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:
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,swim ing pools,fences,walls,signs,screen rooms and accessory uses to another nonresidential use
WARNING TO OWN :Your failure to Record a Notice of Commencement may result i our patyn�
ice for
improvements to y r property Notice of Commencement must be recorded a posted jobsite
before the first in ection. If y i nd to obtain financing,consult with lender an attornor
commencingw or recordi rind
Commencement.
s
_Signature f caner/Lessee gent Signature of Contra /License Holder
STATE FLORIDA STATE OF FL IDA
COUNTY OFSTLVCIP COUNTY OF STLUCIC
Thegaing instr e ase;nowledged�b ore me The forgoing instrument was acknowledged lZefore me
thi ay of 20 _ ,, this 29 day of APRIL 20 "by
JOHN NGL JOHN V LANGEL
(Na e o rson acknowle ) (Name of pers nowledging)
-Mg—nature of No ry u -State of orida) (Sign atu tary Pu
Personally Personally Kn w Ji<Yr" n n
FIR
Type of Identifi itto rtirlicm Type of ldenti iift
�'„'t o.nCFft EXPIRES Au t,tfit30,2018 ES AU u �j2018
Commission No.I rfdtNotaoe,com Commission o4oi)3.....
ordaNntarySMe eV)lom
Revised 07/15/20).4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS