HomeMy WebLinkAboutBuilding Permit Application 65/26/2615 12:27 7724662417 SEACOAST SHEET METAL PAGE 03
'i [L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-5�d� \-_ Permit Number: 15 0 5 �a 363
:-M I, ,; � RECEIVED MAY 2 0 20%
Building Permit Application)
Planning and DeveloPMent Services
Building and Code Regulation Division
2300 Virginio 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: 10129 GREAT WOODS DRIVE
Legal Description:
Property Tax Id#: 2303-211-0025-000-5 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 4 TON 10 KW A/C CHANGEOUT
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AcId Itional work to 13e errormed un er is permit- c ecK all appy: El
HVAC Cas Tank []Gas Piping _Shutters Windows/Doors
Electric I^l Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: _ SFt,of First Floor:
Cost of Construction:$ 4423,00 Utllitiest Sewer Septic Building Height:
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Name JOE HARTMAN Name: JOHN V LANGEL
Address:10129 GREAT WOODS DRIVE Company. $EACOAST A/C
City: FORT PIERCE State:__ Address: 2601 INDUSTRIAL AVE 3
City: FORT PIERCE State:FL
Zip Code: 34951 Fax;
Phone No.772-46$-0659 Zip Code: 34946 Fax: 772-466-3053
E-Mail.• Phone No, 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIRQAaL.cOM
from the Owner listed above) State or County License: CAC016446
If value of construction is$2500 or more,a RECORDED Notice of Commenrement is required.
05/20/2015 12:27 7724662417
SEACOAST SHEET METAL
PAGE 04
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000 DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name; Name:
Address: Address:
City: State:, City: State:
Zip: Phone: Zip: Phone:
FEE SiMPLE TITLEHOLDER: ____Nat 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 Count+makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con lict with an 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 OWNER:Your failure to Record a Notice of Commencement may result In your paying twice far
improvem is to your property.A Notice of Commencement must be recur ed and posted on the jobsite
before th irst inspec 'on. if you intend to obtain financing, consult with i der or an attorney before
commie ng work or ecor ing your Notice of Commencement.
V s
ture of Own Lessee/Agent Signature of ntractor/ ' se HoldZir
/UNM
OF FLO A STATE Q FLORIDA
OF arL=r; COUNTY OF s%uriE
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged efore me
this day of _ ?� 20 , by this 20 clay of "'AY 20 l l by
JOHN V LANCE 1
JOHN V LANGEL
{Name of p rs n knowled g j (Name a e o cknowle Ing)
{Signa
f5ignat _
•►� Acy NGEL
Person i fC meWig ``� ,`' ACV M NG
Type o f' 090 tion Person� ri' _ co # , tion
a.... Type of
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Commi 0153 Ftarld�NotarySeMOe. m
(am 39"
'aaoisa FtOrtdallofn Service,
Commis i
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTESUPERVISOR PLATS VEGETATION R REVIEW REVIEW SEA TURTLE MANGROVE'
(DATE REVIEW REVIEW REVIEW
COMPLETE REVIEW
INITIALS