HomeMy WebLinkAboutBuilding Permit Application 06/02/2015 08:19 7724662417 SEACOAST SHEET METAL PAGE 03
Phone:(772)462-1553 Fax:(772)462-1578 Commercia Residential
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Servici?s
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
PERMIT APPLICATION FOR: MechaniGal
11104-40
Address: 4250 N AlA#706
Legal Description:
Property Tax ID#: 1423-501-0054�000�3 Lot No.—
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE CHANGE OUT 2.5 14 SEER 8 KW
.A10WRIffil AN -1-
Rv/ HVAC U Gar,Tank [_]Gas Piping Shutters WindowslDoors
Total Sq.Ft of Construction:- $a.Ft.of First Floor:
Cost of Construction.
_4987.00 Utilities:11 Sewer 0 Septic Building Height:
Pill
Name ELLEN COHOON Name: JOHN V LANGEL
Address:11 FIELD ROAD Company: SEACOAST A/C
City: DERRY NH State. Address: 2601 INDUSTRIAL AVE S
Zip Code. 03038 Fax, City: FT PIERCE State:r-L..
Phone No,603-4Z5-0613 Zip Code: 34046 Fax: 466-3053
E-Mail, Phone N.D. 466-2400
Fill In fee simple Title Holder an next page(if different E.Mail-, TI-SEACCIASTAIRQA01—COM
from the Owner listed above) State or County License: CACOI$446
if value of construction Is$2500 or more,a RECORDEP Notice of Commencement is required-
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06/02/2015 08:19 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.
5t.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 1 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 toy r prop7g�
A Notice of Commencement must be recorded and posted on the jobsite
before the first ins ection. Iintend to obtain financing,consult with len (yr or an a' orne before
commencin wor r recordur otice of Commencement.
s
Signature o wner/Lesse gent signature of Con ctor/License Ider
STATE O ORIDA STATE OF FLORIDA!
COUNTY OF sr i uaE COUNTY OF sT wcls
The oing instru n knowledg fore me The forgoing instrument was acknowledg are me
this day of 20b this'day of JUNE 20 by
roHN V N JOHN V t AN{iEL
(Nam knowleclplX (Name of p r n nowledging)
(Signature cc-State a (Signature o Notary Pub" - to o4nVfic
Personally Known x OR Pro aced Identification Personally Known x rod
Type of Identification Produced Type of Identific
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Commission No, �'°". °" -q� ,@$gkl�tAV I-A Gommissi li'NQA " ,�,t
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