HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTI7D
Date: z SL Permit Number-
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: 7803 WINTER GARDEN PKWAY
Legal Descriptlon:
Property Tax ID 1301-605-0222-0006 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back:_Right Side: Left Side:
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LIKE FOR LIKE 3,5 TON 14 SEER 10 KW A/C SYSTEM CHANGEO�T
--NdclItFonalworKTOijLp-arTFrm-e-d urfdertffFs-perm)t-C all t=apply:
ZHVAC heck Shutters Windows/Doors
U Gas Tank F❑Gas Piping
Electric 17 Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: So. Ft.of First Floor:
Cost of Construction:$,4761.00 Utilities,[]Sewer Septic Building Height:
Name WILBERT BEST Name: JOHN V LANGE�
Address:7803 WINTER GARDEN PKWY Company: SEACOAST A/C
City, FORT PIERCE
State:FL Address; 2601 INDUSTRIAL AVE 3
Zip Code. 34946 Fax: City: FORT PIERCE --- - State:FL
Phone No.461-9519 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:
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`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.
to 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 OWNER:Your failure to Record a Notice of Commencement ma esult in your praying twice for
improvement to your property,A Notice of Commencement must be re ded and posted on the jobsite
before the fir inspe 'on. if you intend to obtain financing, consult wit ender ar a t ney before
commencin ork or o In our Notice of Commencement.
s
Signa r of Owner essee gent slgnature ontractor Lic a Holder
STAT F FLORI A STAT F FLORIDA
COUNTY OF STUJOE COUNTY OFsT,_uoie'
The going Instrumjn o eff
fore me The forgoing instrument was acknowledged before me
this day of by this tS day of.m4y _ 20 —by
JOHN V GELL JOHN V LANGEL
(Name of erso cknowl ging (Name of person owle
I
(Sign ur (Signature o grid
y
IAC 1 LANGI~L.
Personall pP YONA* #i n Personalty ry v t Y Cp►ram t
Type of Id Pr40KA9SA6gs Type of]del avMISSION*FF a
EXPIR August Sc,201
{40TH 368.0153 Flariclalloturyservi¢ c
Cornmissi commissh H1098.01b3 FlondallotarySery
Revised.07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
VO 39Vd -IVI1IW 133HS 1SV'OOd3S LTVZ99VZLL 60:EZ 5ti0Z/91/90