HomeMy WebLinkAboutBuilding Permit Application 06/18/2015 15:58 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE erCEPTED
mit Number:
Date:
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Building Permit Application
Planning cind Development Services
Building and Code Regulation 010511011
2300 Virginia Avenue,port Pierce FL 34992 Commercial �_ ReSidential xx
Phone:(772)462-1553 Fax: (772)462-1578
' PLICATO�N, F�O{�R,y 1: IE Mechanical'�I pPERMITi
yn fli 'Tb
Address: 2508 navajo ave
Legal Description:
1428-702-'1242-000-7 Lot No._
Property Tax Id#: Block No. _
Site Plan Name:
Project Name:
Setbacks Front—
Back: Right Side: Left Side:
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like for like change out 3 ton 10 kw 14seer
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to wor o e orme� un er ispermit–c ec a appy:
HVAC Gas Tank Gas Piping _
Shutters Windows/boors
ElectricPlumbing IDSprinlders []Generator 0 Roof
Total Sq.Ft of Construction: Sq. Ft.
of First Floor:
Cost of Construction:$
Utilities:I�ISewer 0Septic Building Height'—
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'�. •: ohn�langei
Nameivanitamcnichols Name: i
2808 navajo ave ea coast a/c
Address: Company', s,
City: ft pierce State: Address: 2601 industrial ave 3
Zip Code: 34946 Fax: City: ft pierce 468-3053 State.—fl
Phone No.801-4695 Zip Code: 34946 Fax:
Phone No. 466-2400
E-Mail: l
tar(c�aol.com
Fill in fee simple Title Haider on next page(if different E-Mail: tiseacoascom446
from the Owner listed above) State or County License:
cacol If value of construction is$25ou or more,a RECORDED Notice of Cvmmoncement 14 required.
06/18/2015 15:58 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 TITLEHOLDER: _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 Count�yy makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
which is in con-lict with anY applicable Home Owners Association rules,bylaws or and covenants that may,restrict or prohibit such
structure,Please consult w"lth 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,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNE Your failure t Record a Notice of Commencement may result In your paying twice for
improvements to yo your A tice of Commencement must be recorded a posted on the jobsite
before the first insp ion. If you 1 end to obtain financing,consult with lender r an attorney before
commencin work condi ur tice of Commencement.
s
Signature of I
ner/LesseelAge Signature of Contract /License Holder
STATE OF ORiDA STATE OF FLO A
COUNTY F at linin COUNTY OF ct t�,”
Theng instrurn owledg ore me The forgoing instrument was acknowledge ore me
this�Jd ay of _ ZO y this ' day of luno 24 by
Jahn v et i Jolin v tpngal
(Na e f pe n ack wiedging) (Name of person a ow gin
Ignatu ltc� 4 Iorida) ---(Signature a
Persona Kn n >< OR od ..ed ldentiRcatian Personally Kn wn a OR Prod identification
Type of ification Produce Type of[dent atio oduced
Commission No, ommissio Seal)
SYpyY KAY LANGTRACY Kl4ti'
CFtAO / LANIG,L"L
is OMMIS$ION#FF14807$
Revised 07/15/2014 N74. • ExP!Re*"�August 3o, ots *,,a.Rcplpi�s,4ugust3o,2tlys
,�' >It3tidi1fQ7t0 911tSt{tp.00iYt (t07i 3988163 FlOridaNa,a S
ts.n >rr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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