HomeMy WebLinkAboutBuilding Permit Application 05/27/2015 07:00 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO SE ACCEPTED _
bate: Permit Number: �5' ' 0'p
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: 6507 ALEMENDRA ST
Legal Description:
Property Tax ID##: 1306-111-0001-000-0 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 PACKAGE UNIT CHANGEOUT
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ACIamonalworktol3eperrormed un er t Is permit—c Ec a appy:
❑_HVAC LJ Gas Tank [:]Gas _shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator O Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4173.00 Utilities:❑Sewer Septic Building Height:
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Name MNNE BUILDING GORP/THOMAS DUTC_HE_R Name: JOHN V LANGEL
Address:12804 SW 122ND AVE Company SEACOAST A/C
City: PORT PIERCE State:, Address: 2601 INDUSTRIAL AVE 3
Zip Code: 33186 Fax: City FORT PIERCE State.FL
Phone No,772-672-4122 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: TLSEACASTAIRQAOL,_COM
from the Owner listed above) State or County License: CA0016446
If value of construction is$2500 or more,a RECORDED Notice of Cornmcncement is required.
05/27/2015 07:00 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 prop rt , A Notice of Commencement must be record and posted on the jobsite
before the first insp ction. f y u intend to obtain financing,consult with le er or an at rney efore
commencingwork reco di o r Notice of,Commencement.
S
_Signaturner/Lesseey1fient Signature of Co actor/License lder
STATE 04011 IDA STATE OF ORIDA
COUNTY OFSTLUCIR COUNTY( ,IE
Thefor oing instrumentt�'as acknowledged before me The forgoing instrument was acknowledge¢ efore me
this day of /V4'A T 20 i,:Uy this 'r'day of mAy 20 ((_by
J W El l JOHN V LANGEL
{ e of perso ckno ledging) (Name of pe n a nowledging)
1
(Sig u (Signature of a
T Y KA G EL " ��RpAr
Perso d y KJn \ � u Personally Kno X �nrc� ION�1FF148072
Type of Iden i �, e Type of identi i u
?' H 1AU9U5(- ugust 3q, 2018
Commission 7)99"M RaridafttaryS mCommission N dGy � 01l;d FlorldeNolary om
Revised 07/15/2014
REVIEWS FRONT ZONING; SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIAL$