HomeMy WebLinkAboutBuilding Permit Application 05/15/2015 12:39 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 5 5 Permit Number:
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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)462-157$ Commercial ._. Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 450 NATALIE OR
Legal Description:
Property Tax ID#: 3426-664-0011-000.7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:_Right Side: Left Side:
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LIKE FOR LIKE 14 SEER 3 TON 10 KW PACKAGE UNIT
Additional wor to MsTank
me un er is perm —C ec d appy❑'� HVAC ❑Gas Piping _Shutters Q Windows/Doors
FlElectric 1i Plumbing Sprinklers Generator Roof
Total Sq_Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3450.00 Utilities: Sewer Septic Building Height:
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Name ROB RODGERS Name: ,JOHN V LANGEL
Address:450 NATALIE DR Company: SEACOAST A/C
City: PORT SAINT LUCIE State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34952 Fax: City: FORT FIERCE State:FL
Phone No.772'478"6542 Zip Code: 34946 Fax: 466'3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page 1 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.
05/15/2015 12:39 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 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 a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recordeyl and posted on the jobsite
before the first inspe ion. If you intend to obtain financing,consult with lend/r or an attorney before
commenciniz work or ecording ygrur No ice of Commencement.
I VZW -'/� s
_Signature ofOwn /Lessee/Age n Signature of Contra r/License Hol r
STATE OF FL DA STATE OF FLO A
COUNTY OF sr LuciE COUNTY OF s'rLuciE
The f Ding Inst e kn edged efore me The forgoing instrument was acknowledged ore me
this_day of 20 by this T6 day of "v'Y ,20 y
JO LANGE — JOHN V LAN GEL
( m erson ackno edging) (Name o erson a o edging)
sig ur Notary Public-Sta4e of Florida) (Signature of o ry u lic- f Florida}
Persona y Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS