HomeMy WebLinkAboutBuilding Permit Application 05/04/2015 12:19 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED,FOR APPLICATION TO BE ACCEPTED nn
Date: Permit Number: O s�� q3
Building Permit Application
Planning and development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical
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Address: 7463 COMMERCIAL CIRCLE SUITE 1101111
Legal Description:
Property Tax ID#: 1335-802-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front _ Sack: Right Side: Left Side:
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M.M., U111140.
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LIKE FOR LIKE 5 TON 14 SEERA/C SYSTEM
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Additional w rK torformedun er ispermit—c ec a appy:
ZHVAC n Gas Tank ❑Gas Piping _Shutters L1 Windows/Doors
11 Electric LiPlumbing ❑Sprinklers Generator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 7435.00 Utilities_ Sewer Septic Building Height:
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Name MEDFIELD REALTYAND INVEST CORP Name: JOHN V LANGEL.
Address.7496 COMMERCIAL,CIR Company: SEACOAST A/C
City: FORT PIERCE State=FL Address: 2501 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City: FORT-PIERCE; State:FL
Phone No.885-839-9344 _ 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: TLSEACOASTAIRQAOL.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,
05/04/2015 12:19 7724662417 SEACOAST SHEET METAL PAGE 04
-tb)E ENGINEER: Not ApV11cable 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.
"AucleCoun makes no representation that is granting apermit will authorize the permit holder to build the subject structure
sincon ict with any applicable Home Owners Associatign ules,bylaws or and covenants that may.restrict or prohibit such
structure.Please consult with your Home Owners Association d 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 withthe 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 aNcitice of Commencement ay result in your parying twice for
improvernentst your property,A Notice of Commencement must b r ordedand o d on the jobsite
before the first, spection If you intend to obtain financing,consult'e Fiender 7n;�rney before
commencjn-g�zykorrec ding your Notice of Commencement. W�
signature 70ontractar/Liefse Hol4eT
FJ
STAT-Z FLORID STATE FLORID
COUNTY OF— COUNTY OF
The ing instru s ac knowledge(4wfore me The forgoing instrument was acknowledqAbefore me
this dayof. ffirz-1 -, 20 4;)by this day of MAY ------ by
-
Persona y Kn Per
all
Commission Commission
Revised 07/1517-014
REVIEWS FRONT ZONING SUPERVISOR PLANS VI�GFTATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS