HomeMy WebLinkAboutBuilding Permit Application 06/02/2015 07:22 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: �o_ — 1 _ Permit Number: 15b 6
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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: 14020 Cancun Ave
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 change out 4 ton 14 seer10 kw package unit
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Additional w !rrormed under this permit—cec all appy:
❑✓ HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator ❑Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3987.00 Utilities: Sewer Septic Building Height:
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Name Wynne building/PICCOLA Name: JOHN V LANCEL
Address:12804 SW 122ND AVE Company: SEACOAST A/C
City: MIAMI State'_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 33186 Fax: City: FT PIERCE State:FL
Phone No.465-3074 Zip Cade: 34946 Fax: 466-3053_
E-Mail: Phone No, 466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSSACOASTAIR r@AOL.COM
from the Owner listed above) State or County License:-CAC016446
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
06/02/2015 07:22 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 Counttyy makes no representation that is granting a permit will authorize the permit holderto 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 wlth'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-residentlel 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 inspegrion. if you- tend to obtain financing,consult with fend or an attor y before
commencingwork or/,recording du 'No e of Commencement. 4 41
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Signature of er/Lessee/Age Signature of Contr or/License Hold
STATE OF RIDA STATE OF FL/A
COUNTY sTLuole COUNTY OF 87 Luclr;
The for ing instrum t a wled ed re me The forgoing instrument was acknowledgedforeme
thi ay of 20 ,�� this ' day of au"F 20 �
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J N ELS JOHN v LAWL
( of Pers ackndwledging) ( erson wledging
(sig o Florida) Ign -State of Florida)
Person nown.x OR Produced identification Perso Known x OR Produced Identification
Type of Identification Pr a Tyl of ificatiew
IY Ap }nom�'U°l
Commissio N '""""°
TRACY KAY aeai2r TRACY Ke4V LANG�1
I5stort( i} Go Isn. 0. 5 al)
4 }N .i •FF14807
EXPIRES August 30.2418 :�or r �xMI ES August 30,2018
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Floriaa o - IJ;:+ IcrldnNota BCrvlc9,C M
Revised 0
REVIEWS FRONT ZONING SUPrzRVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS