HomeMy WebLinkAboutBuilding Permit Application 05/21/2015 09:26 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APP I 1C B iNF MUST BE:COMPLETED FOR APPLICATION TO 13E ACCEPTED �r
Date: Permit Number: J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1.553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address; 115 CALLE DE LAGOS
Legal Description:
Property Tax ID#: '1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name_
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LiKE 4 TON 14 SEER 10KW PACKAGE UNiT CHANGEOUT
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lona work to De erformecl uncler tnis permit—cnCCK all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing ❑Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: 5Ft.of First Floor:
Cost of Construction:$ 3850.00 Utilities 5ewer Septic Building Height:
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Name WYNNE BUILDING CORP/SAM DONNELL Name_ JOHN V LANGEL
Address:12804 SW 122ND AVE Company: SEACOAST A/C
City: MIAMI State:F` Address: 2601 INDUSTRIAL AVE 3
Zip Code: 33186 Fax; City: FOiRT PIERCE State:FL
Phone No.772-466-4632 Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No, 772-466-2400
Fill in fee simple Title Halder an next page(If different E-Mail: TLSEACOASTAiR aCAOL,COM
from the Owner listed above) State or County License: CAC016445
if value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
05/21/2015 09:26 . 7724662417 SEACOAST SHEET METAL
PAGE, 04
1
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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 THE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone: Zip: Phone:
1 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 conWict 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 wilt,in all respects,perform tate 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:roam additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNE :Your bilure to Record a Notice of Commencement may res t in your paying twice for
improvements to yo, property.A Notice of Commencement must be record and posted on he jobsite
before the first insp ion. if you i end to obtain financing,consult with len7r or an attorne befor
commencing work cordi r o ice of Commencement.
s
Signature of O r/Lessee/Agan Signature of Contr or/License Halde
STATE OF FL IDA STATE OF Fl. IDA
COUNTY OF.TLUCIF COUNTY OFeTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgedefore me
this T day of /y! by this 2',day of mAy _ 20 r by
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J HN WELL Xpe
e of persona owledging} wlednat - ate of arida}
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Type fa�1rP cType of Ida r� ;rdtilAM15SfON, >7148072
?a ,,. EtCPtFi ugu ' GXF'IFtFS August 30,2018
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Revised 07/1512014
REVIEWS FRONT ZONING nSUPERVISORPLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEWEVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS