HomeMy WebLinkAboutBuilding Permit Application 05/27/2015 11:51 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO a1lLJ151§E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 51 IS Permit Number: ^ �C40
:s54
Building Permit Application
Planning and Development Services
auilding and Code Rtegulorion Division
2300 Virginia Avenue,Fort Pierce FL 34952
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 5904 CITRUS AVE
Legal Description:
Property Tax ID M. 3409-504-0002-000-5 Lot No,
Site Plan Name: Block No.
ProjectName:
Setbacks Front Back: Right Side: Left Side:
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Additional worK to be errormed under this permit—check all appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
L1Electric Plumbing OSprinklers El Generator II Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 7305.00 Utilities: Sewer U Septic Building Height:
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Name CLAY HAYES T .Name: JOHN V LANGEL
Address:5904 CITRUS AVE Company-, SEA COAST AIR CONDITIONING
City: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34982 Fax: City: FT PIERCE State.FL
Phone No.971-9332 Zip Code: 34946 Fax: 4663053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page if different E-Mail: TLSE:ACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of constructlan 7s$2500 or more,a RECORDED Notice of Commencement Is required,
05/27/2015 11:51 7724662417 SEACOAST SHEET METAL PAGE 04
app
DESIGN ER/EINGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Narne,
Address: Add ress:
City: State, City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable BONDING COMPANY,* Not Applicable
Name: Name:
Address: Address-
City: City:
Zip: Phone: Zip Phone,
I certifythat no work or installation has commenced prior to the Issuance of a permit.
St.Lurie County mak9s 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 rule�,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,
accessorV 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 recorded and posted on the jobsite
before the first in �pection. I
!.,,you intend to obtain financing,consult th lender or an attorney before
commencing work or recor=g vdur Notice of Commencement.
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Signature FL 0 er/Ler 9 nt Signa r f Contra r/Licens6 Holder
STATE FLORIDA STATE OF F1 ZA
COUN OF ST LUCIF
T u t was cknowledJ4§be7fore me The forgoing instrument was acknowledge,"Lefore me
lly 26
S a, 2 by this day of mAy 20 Uby
�OHN V LAN(3FI;l_!!T7 JOHN V LANGEL
(Name of pe owl (Name O��acknowledging
=wt�rc( ona y K
(Signature'Of Notary Ft E OnDlorlda iE.-State
Personally Known X ro ed Identification Personally K Q in OR Prfuced Identification
Type of Identification Produced Type of Identi ion Produced
Commission No. (5eal) Commis o
Al. MY COMMISSION*FFi48079-
Revised 07115/2 GP-L *.Cam
ACY KA
01y Co"Wpo' U51 so,2018
A AVI R PLANS VEGETATION $EA TURTLE MANGROVE
REVIEWS
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