HomeMy WebLinkAboutBuilding Permit Application 05/29/2015 10/04 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0-- 0 BUilding Permit Application
Planning and Development Services
Ruilding and Code Regulation Division
2300 Virgink;Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical I
011
"Mmmot
Address, 5503 EASTWOD DRIVE
Legal Description:
Property Tax ID ft: 1301-614-0018-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back. Right Side: Left Side.
LIKE FOR LIKE CHANGE OUT 3 TON 10 KW 14 SEER
cneCK all t=apply.
E-I;r. Gas Piping U.9huttPrs Windows/Doors
,,T-.jnVAC T Gas Tank
0-Electric 0 Plumbing 05prinklers Generator 011toof
Total Sq. Fi of Construction: So. Ft.of First Floor.
Cost of Constructiom 3912.00 Else",.,. Building Height:
Address:$503 EASTWOOD DRIVE Company: SEACOAST A/C
City: 'FT PI ERCE State. Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax, City: FT PIERCE State:FL
Phone No.772-370-1683 Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder an next page(if different E-Mail- TLSEACOA,$TAIR@AOL.COM
from the Owner listed above) State or County License, CA0016"6
If value of construction is S2soo or Mora,a RECORDED Notice of cornmenecment is required.
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05/29/2015 18:04 7724662417 SEACOAST SHEET METAL PAGE 04
101
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State,
Zip: Phone, Zip: Phone.,
FEE SIMPLE TITLEHOLDER, _NotApplicable BONDING COMPANY: NotApplicable
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.LucleCoun makes no representation that is granting a permit will authorize the permit holder to build the 5ubject structure
which is in con, lict 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 revi w 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 frorn undergoing a full concurrency review:room additiQns,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses-to another nDn-resldential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result i"your paying twice for
improvements�p your property.A Notice of Commencement must be recorpd and os donthejobsite
before the firsynspection. If you intend to obtain financing, consult with I _I er or an 0 rrn before
commencing mfork or record!rA mourAcitice of Commencement.
STAT OF FLOR STATE017LCRIDA er
COUNTY OF eirwciE COUNTY OFILLUsr;
Thelforgoing instrum owledged re me The forgoing instrument was acknowledged before me
thisl day of—( 20 this I dayof JUNF; 20 _by
7(rsonacknowl gi (Name of pdWn nQwled
Mgnati.Fre o ary Pu5lic-Stat�f Florida (Slgnatu�rff Not blic-State of FWa.)
X uced Identification Personally Known
Personally L77ry I )t d (rOlk ProducQd Identification
Type of Identification Produced Type of identification Produced
Commission No. (Sea[) LAN-612L. (Sea')
MY COMMISSION#FF1 48072
EXPIRES Auguat 30.2018
Revised 07/1 MMI$SION#FF14BO72 _L401)3U-015:3 FlorklaNQlaryService.com
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