HomeMy WebLinkAboutBuilding Permit Application 06/09/2015 08:38 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABBLEEIINFO MUS r
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l Permit Number:
.. " U
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: 3225 S LAKEVIEW CIR 22105
Legal Description:
Property Tax ID#: 1426-501-0053-000-5 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 2.5 TON 8 KW 14SEER
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rtlond wor to e e orme un er Is permit c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ISL Windows/Doors
11 Electric ❑Plumbing 05prinklers 11 Generator Roof
Total 5q. Ft of Construction: S Ft.of First Fnloor:
Cost of Construction-$ 5467.00 Utilities: Sewer LJ Septic Building Height:
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Name MARTIN RIPPE Name: JOHN V LANGEL
Address:PO BOX 3870 Company: SEACOAST A/C
Cita: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34948 Fax: City: FT PIERCE State:FL
Phone No.595-0564 Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page (if different E-Mail: TL5EAC0ASTAIRGA0L.00M
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!09/2015 08:38 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,wails,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 jobsiite
before the first insp ction. If you intend to obtain financing,consult with lend r or an attorney before
commencing"eCordinotice of Commencement.
Signature of O Signature of Contr ar/Llcense Ha er
STATE OF FLOSTATE~OF FLORIDA
COUNTY OF STLucte COUNTY OF-LuciE
Therf ,iing instr>"rrii`�nawiedget�1�ore me The forgoing instrument was acknowledged me
this—`,--'tl day of 20 (_ 1 this 9 day of �u"` 20 y
JOHN V LAN .JOHN V LANGEL
(Name a per on nowle ins (Name of acknowle " g)
(Si e of NoCary P Lp�FlGEI. (signat r �L
dp d7Ft Y ipsoKAY FF14r3072 i'I M COMMISSiO F14
Personally known x J ` :L14j IfiSB� Persona lit° .. P �Ef3��1 1q
Type of Identification P 4u ; aust 34, Ot$ Type of erre do o uc�
;an7l398,01sa on a
F rtd oto Sprvlce.0 m --_
Commission No. v15a Commission No.
(Seal)
L. :1
Revised 67115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS