HomeMy WebLinkAboutBuilding Permit Application 06/16/2815 09:42 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED RECEIVED JUN 16 2015 Planning and Development Services Puild;ng and Code Regulation Division 2300 Virginia Avenue,Fort Pierce F4 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commerclai Residential X PERMIT APPLICATION FOR: Mechanical Jill Address: 5603 PINETREE DRIVE Legal Description:Property Tax ID#: 3402-602-0262-000-6 Lot No._Site Plan Name: Block No.Project Name.,Setbacks Front Back: Right Side- Left Side:LIKE FOR LIKE CHANGE OUT 2.5 TON 16 SEER 8 KW Additional work to b9i2grtormed uncler this permit—CnecK all app Y:ZHVAC Q Gas Tank E]Gas Piping Shutters Windows/Doors Electric Plumbing ]Sprinklers Generator Roof Total Sq. Ft of Construction: SCI, Ft.of First Floor:Cost of Construction:S 6117.00 Utilities-0 Sewer F leptic Buildine Height:PIN L[Address.-$603 PINETREE DRIVE Company. SEACOAST A/C City: FT PIERCE State: Address- 2601 INDUSTRIAL AVE 3 Zip Code: 34982 Fax. City: FT PIERCE State;FL Phone No.489-2E30 Zip Code: .34946 Fax- 466-3653 E-Mail: Phone No. 466-2400 Fill in feesimpleTitle Holderori next page(if different E.Mail: TLSEACOASTAIR@AOL.COM from the Owner listed above) State or County License'. CAC01 W6 if vaiue of construction is$2500 or more,a RECOROED Notice of Commencement is required.
06/16/2015 09:42 7724662417 SEACOAST SHEET METAL PAGE 04
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: '
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: ,,,,_Not Applicable
Name: Name-
Address: Address:
City: City.
Zip: Phone` Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply,
In consideration of the granting of this requested permit,i do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,wails,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER-Your failure to Record a Notice of Commencement may result in your paying twice for
improvements W your property,A Notice of Commencement must be recorcied and posted on the jobsite
before the firs inspectio if you intend to obtain financing,consult with I der or an attorne efore
commencing,svork or recArding your Notice of Commencement.
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_Signa' of owner/I.—tee/Agent Signature of tractor/License
ST OF FLORIDA STAT FLORIDA
COUNTYOF$*LuaECOU OFsTtucic
The or ng instru nt c owledged b f me The forgoing instrument was acknowledged me
this`day of . 20 this 1�day of ruNF 20 W� �
,tats Gi;L JOHN V
(NatAo rson act wledgi ) (N p rsan acknowied ' }
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Ic-Sta aFloridatc-St FloridaPersonally OR oduted Identification_ Personall Known x QR duced Identiflca ii5n
Type of Ideduce Type of entificatio Produced
Commission No. (Seal) Commission o. "' . (Seal)
Rcvised 07/15/201
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COUNTER EVIEW REVIEW VIEW
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INITIALS