HomeMy WebLinkAboutBuilding Permit Application 05/01/2015 08:00 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO SF ACCEPTED
Hate: 5 `� Permit Number:
RECEIVED MAY 012015
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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)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 112 SE PRIMA VISTA BLVD
Legal Description:
Property tax ID#: 3419-540-0239-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE14 SEER 2.5 TON 8 KW PACKAGE UNIT
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Additional worK to e errormea under this permit—cneCK B11 appy:
HVAC Gas Tank ❑(Sas Piping _Shutters ❑,Windows/Doors
Electric ❑Plumbing [:]Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3987 Utillties:�❑Sewer❑Septic Building Height:
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Name JESSICA GOMES _ _ Name: JOHN V LANGEL
Address:112 SE PRIMA VISTA BLVD Company: SEAOCAST A/C
City: PORT SAINT LUCIE _ State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34983 Fax: City: FORT PIERCE State:FL
Phone No.772-634-1459 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: TLSEACOSTAIR a@AOL.COM
from the Owner listed above) State or County License: CA0016446
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
05/0I/2015 08:00 7724662417 SEACOAST SHEET METAL PAGE 04
DESIG NER/ENGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Narne: Name:
Address: Address:
City: State: City: —State:
Zip: Phone: Zip:—Phone:
FEE SIMPLE TITLE HOLDER* Not Applicable BONDING COMPANY: —NotApplicable
Narne; Name,
Address: Address:
City: City,
Zip: Phone: Zip: Phone:
St.LucleCQun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in ccinwict with any applicable Home owners Association rules,bylaws or andcovenants 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,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
OWN
WARNING TO JR:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to (r property.A Notice of Commencement must be recordedp nd posted on the jobsite
before the first i ection. I yo intend to obtain financing,consult with lend ran attorne before
—Signature Owner/LesseeOnt Signature of Contr or/Ucens HoI7__
STATE FLORIDA STATE OF FZRIDA
COUNT OFan.ucig COUNTY OF 5TLUCE
The forgoing instrument was acknowledged A�fore me The forgoing instrument was acknowledged.before me
this U day of 20 !,�_by this day of mlly
20 i5 by
(Name ofMaom1c- (Name
(S ature of Nota U
EXPIP5S August so.201 a
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS L