HomeMy WebLinkAboutBuilding Permit Application 06/17/2015 07:49 7724662417 SEACOAST SHEET METAL PAGE 03
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PLICAB E I FO MU 8 OMPLETED FOR APPLICATION TO BE ACCEPTED r
Permit Number'
Building Permit Application
ing and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Plerce Ft 34982 Residential-i
-
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR: Mechanical
NJi 17-71
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Address: 4200 n aia#814
Legal Description:
Property Tax ID#: 1423-501-01$8-000-2 Lot No.
Black No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:-
0111H.0211111211.
ide:
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LIKE FOR LIKE CHANGE OUT 2 TON 5KW 14,5SEER
t'�,r ;:1 �1� U';'.w s T lldl'^ xrt I JI iIIIIT�IIf'1 Il,f+.•''Wk:•a�•�..,;.,,1....
is ,LIdli' I ( �(II !' llllll� h l� si,.►....;il,�ill,tpl+lr,�l,;
y 'IT I ( i n I� ( qll1�1 JuhlJL' II •111�i�1:
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Itrona wor orme un er Is perml —c ec a app Y.
❑_HVAC Gas Tank ❑Gas Piping _Shutters Windows/floors
❑Electric LJ Plumbing USprinklers Generator Raaf
Total Sq. Ft of Construction: 5 . Ft.of First Floor:
Cost of Construction'$ 3960,00 Utilities:iSewer[]Septic Building Height,
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1 I!4'd 1 1 16 ”' �' Tui('i �( IP!I�t TIL IIS"1 it ij •!I Its, III l^�I�IIISIIII�I„til(
7Address.
I�I�' Itl li i'I � I yT h i��Il4l:I>�3;g 1, "", , [ - I... I f I'`ANN BROWN Name: JOHN V LANGEL
HOLLY ST Company: SEACOAST A/C
City: CORD NJ 07016 State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Cade:
0701$ pax; City: FT PIERCE State:FL
Phone No.
908-451-3293 Zip Code: 34949 Fax: 466-3053
`
E-Mail: Phone No. 4$6-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR a@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 it rrqulred.
06/17/2015 07:49 7724662417 SEACOAST SHEET METAL PAGE 04
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DESIGNERANGINEEIR: 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:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie CountyBakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Rome 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,l 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,walls,signs,screen rooms and accessory uses to another non-resldential 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 recordeq and posted on the jobsite
before the first inspection. if you intend to obtain financing,consult with lend or an attorney before
commencing woW or record in our N ice of Commencement.
-V" s
_Signatur f wner/Lessee/ ent signature of Cont for/License Hold
STAT O FLORIDA STATE OF OR1DA
GOIt1 OF sr LUCIE COUNTY OF STLUCIP
The forgoing instrument was acknowledg a me
Th rg ing inst� i s�cknowledged��e me
this da of 2� _ _ this ��day of JUNt: 20 by
JOHN V LANGEL1- JOHN V LANGEL
{NameCersacknowl dging (Name o son ac owledging
{Signa urs of o ry ublic-Stat (Signature of Na ublic-State F o
Pe used identification Personally n ^a �4 ;: a�io
Ty e+ ?t C (c A 4dl t type of Ids a hi. OMY CG'MMT95tt3
''` mycommissidIN#FFi4a i Commissio EXPIRES AUgust( 18
Co,
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mus 8p, a (407)390,015.'t RorldaNptaryserviae.com
(407)39e.01r.1 FloriUallote $oNfCA
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
PATE
COMPLETE
INITIALS