HomeMy WebLinkAboutBuilding Permit Application 05/01/2015 01:53 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � S
Date:
S 1 1 J Permit Number:
RECEIVED MAY 012015
Building Permit Application)
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982 Residential X
Phone:(772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Mechanical
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Address: 2700 N AIA 1208
Legal Description:
Property Tax ID#: 1425-704-0090-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:-Right Side: Left Side:
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LIKE FOR DIKE WATER SOURCE HEAT PUMP 3 TON 15.5 SEER
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Iona wor< o e e Orme un er s perm —c ec a� app y:
HVAC El Gas Tank ❑Gas Piping Shutters Windows/Doors
1.1 Electric 0 Plumbing Sprinklers C]Generator Roof
Total Sq, Ft of Construction: S.Ft,, of First Floor:
Cost of Construction:$ 4863 Utilities:nSewer I.J Septic Building Height:_
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Name RICHARD DONAHUE Name: JOHN V LANGEL
Address:9604 ENCLAVE CIR Company: SEACOAST AIG
City: PORT SAINT LUCIE State:FL Address: 2601 INDUSTRAIL AVE 3
Zip Code: 34986 Fax: City.• TORT PIERCE State:FL _
Phone No.772-216-4013 Zip Code: 34946 Fax: A66-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR a@AOL.COM
from the Owner listed above) State or County License: CAC016446
if value of construction Is$2soo or more,a RECORDED Notice of commencomen't is required.
05/01/2015 07:55 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 5t.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 OWNED:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to you property.A Notice of Commencement must be recorde and posted on the jobsite
before the first insp tion. If you intend to obtain financing,consult with lend or an attorney before
commencingwork ecoFt
tice of Commencement.
5
_Signature of 0 r!Lessee/ASignature of Contra r/License H erg
STATE OF FL IDA STATE OF FLO DA
COUNTY OFsTweis COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged_before me
this I day of tV1-%Y 20 15 by this day of /AAA ,20 1,5 by
A
{ m er ackn wiedging) (Name n acknowi n
I tur f e o Florida) (5ignat
Personals no wr ,$tq +f ,yd$1]alf �i3 Pers n�.t1�'
Type of Idents si<aCl PfO�IL�(f$C�l"nexee: rnAr ..eG4� nT� Type of Ide tI11C r};?radviMgmMISSION t-FF14$e=
Commission � f EXPIRES Aug st o.2018 `��? a f EXPIRES August 30,91)8
eat Commissio Ng.', '.
oA dehiotary ervl rll is �y yAg tl4p i el r dwNotafySCN�tBsID
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERViSOR PLANS VEGETATION SEA TURTLE MANGROVE
!)ATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
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