HomeMy WebLinkAboutBuilding Permit Application 06/22/2015 09:32 7724662417 SEACOAST'SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )
Date- Permit Number,
RECEivE
Building Permit Application
JUN 2 2 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)4.62-1578 Commercial� Residential x
PERMIT APPLICATION FOR. Mechanical
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Address: 8316 BELFRY PLACE
Legal Description:
Property Tax 1D#: 3327-701-0008-000-1 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 3.5 TON 16 SEER 1 OKW
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ltiona wor o e e orme unclertnis permit—c ec a appy:
W]NVAC Gas Tank ❑Gas Piping _shutters Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq.Ft of Construction: SQ. Ft,of First Floor:
Cost of Construction:$ 4445.00 utilities: Sewer Septic Building Height:
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Name FREDERICK PROSE Name: JOHN V LANGEL
Address:8316 BELFRY PLACE Company: SEA COAST A1C
City: PT ST LUCIE State,_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34986 Fax: City: FT PIERCE State:FL
Phone No.460-5673 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. TLSEACOASTAIR@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.
06/22/2015 09:32 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: Nome:
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 thepermit 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,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER,Your failure to Record a Notice of Commencement may re It In your paying twice for
improvements to yYrtecordlng
property. A otice,of Commencement must be record and posted on the jobsite
before the first in sion. If you i end to obtain financing,consult with len er or an a rney before
commencing workr ciceof Commencement.
s
_Signature of 0 r/Lessee/Age Signature of Con ctor/License der
'1��X VL
STATE OFF RIDA STATE OF F ORIDA
COUNTY erl.ucle COUNTY OFgTLUCIE
T,�h I�n,g ins rum mowledge re me The forgoing instrument was acknowled efore me
tray of 20 � this ZZ day of J""F 20 In'by
Jqh I_+4NG _ 2 JOHN V GEL
ame perso acknowledgi ) (NaVer,on acknow ging)
51gn a of Not ublic-Sta VVE18) (Sig atu ry ublic-S Florida) M
Per on iy Known OR Produced identification Perso Ily Kno x 0 Produced Identification
Ty f Identification Produced _ Type f Identifi tion Produced
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Cornmissio 0/11"...."..: -rte FCA e(5'� GF—L. Cummissi ;fes, TRACY FCAI'[AMIEL
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