HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: S
10 Buildi ft Permit Application
Planning 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
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Address: 7206 FORT WALTON AVE
Legal Description:
Property Tax ID#: 1301-612-0153-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _Right Side: Left Side:
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LIKE FOR LIKE 16 SEER 5 TON 10 KW A/C SYSTEM
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Additional worktooppLarrormed under this permit-c ec a appy:
HVAC t TI Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator O Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6673 Utilities: Sewer Septic Building Height:
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Name PAUL LEO Name: JOHN V LANGEL
Address.7206 FORT WALTON AVE Company: SEACOAST A/C
City' FORT PIERCE State:F� Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City, FORT PIERCE State:FL
Phone No.772-579-9385 Zip Code: 34946 Fax:
466.$053
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: CAC016446
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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DESIG NERIENGI NEER: 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 Coun representation that is granting a permit will authorize the permit holder to build the subject structure
ch in con%makes no
whi I
Is ct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prNitilt 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
WARNING TO OWNER.Your failure to Record a Notice of Commencement may result in your paying twice for
improvement! N tice of Commencement must be recorded p nd posted on the jobsite
5 - "ift, - All
,t�o yourproperty.A
before the firs inspeclion. if you in nd to pbrain financing,consult with lend!lbr an attorn
commencin work or/recording yo Nilbticd of Commencement. before
Signature of Owro-d /Lemw/Age Signature of Contra /License H
STATE OF FLG;/IDSTATE OF FLOQ9A , 7
A
COUNTY OF*AINT LUCIE COUNTY COUNTY(OF SAINT LUCIE COUNTY
Thi; The forgoing instrument was acknowledgelb,*re me
, &ng dgedlWore me
th day -!--..by this 26 day of APRIL
20 di of
JOHN V LAWS,' JOHN V LANISPEL
(Nam a er acknowl0q) (Name of person acknow led
f
LM
( 1Lureof t Public-State olrids} —IfY11:1-griatUire of No Pu ' ate ofriVri
r
y - ' 'ii- x .
Personally Know Personally I
Type of Identific ettlY CQM�iqmroi *12�. Type of Idel I Ifi IlAthl(WIMMISSION#F .148072
1 0 P EXPIRES August 30
`D_'�. .
EXPIRES Au - �!018 ,, e
It 3o.,
20,8
commission No. (407)3&.41.01Q Commissio FI0Kffi=N0IAryS*rV"6-
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS T-
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