HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' I
Date: � 3 6 r' 1.5 Permit Number: f,6 `�
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)46.2-1553 Fax:(772)462-1.578 Commercial Residential X
PERMIT APPLICATION FOR'. Mechanical
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Address; 6740 YEDRA ^
Legal Description:
Property Tax ID M. 1306-111-0001-000-0 Lot No.
Site Plan Name: Black No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE 3 TON 14 SEER 10 KW A/C SYSTEM
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Additional work pe e orme un ert Is perm) —c ec a appy:
✓ HVAC F]Gas Tank ❑Cas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator Roof
Total Sq.Ft of Construction: Sq, Ft.of First Floor:
Cost of Construction:$ 4098 Utillties: Sewer Septic Building Height:
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Name WYNNE BUILDING CORP/ESTELLE BERNIBR Name: JOHN V L,ANGEL
Address:12804 SW 122ND AVE Company: SEACOASTAIC
City: MIAMI State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code; 33186 Fax: City: FORT PIERCE State:FL
Phone No.772-465-6772 Zip Code: 34946 ; Fax: 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, CAC016446
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
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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 certiflythat no work or installation has commenced prior to the issuance of a permit.
St.LucieCo'n 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 an covenants that m strict or prohibit such
a'restrict
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 0 .Your failure to Record a Notice of Commencement may result in your paying twice for
5 to
ER,
improvement our proper . Notice of Commencement must be regorded and posted on the jobsite
proper
before the firsti pection. If ou intend to obtain financing,consult w lender attorney
commencing w or record ng voOr Notice of Commencement. 7'
" d Signaturef/wner/Lesse gent --
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Signature Contractor/Li e Holder
STAT[:O,e ?RIA V STATE FLORIDA
C0
_r Lu F
COUNTY OF
r LUCIE
COUNTY
F
The ping instru mwledge0gore me The forgoing instrument was acknowledged before me
of
thiCl 20 17%r this " day of APRIL 20 by
.)day
JOHN V LANGIFL-1 z2 I J01-IN V 4ANGEL
(Name of on nowledg! g) Name of pers nowledging
%zz/
Ic- ate of Fl -- ---I—
;a blit-State of Flo d a) (Signature aMotary MT
Per.sonaily Known V OR Produced Identification Personal =OR Produce
Type of Identification Produced Type of Identification Produced
Commission No P20. Ay tjV4GP-I- ommission
T Y KAY LANGF.L
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My COMMIS
2016 my COMMI'SSInN 0;1:14goz�
;.W Aug5ervic,
O'Con, EXPIRES August 30,2018
Revised 07115/2014 Flividallotary3ervice,rom
J407)
(44714
-0152
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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