HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ •® .)j Permit Number: _S? p '
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_ RECEIVE
Building Permit Application JUN 2 3 2015
Planning and Development Services
Building and Code Regulation Division
7300 Virginia Avenue,Fort Pierce PL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 1546 PLILITCER ROAD .!lhlu,a�n ,MJ,aI h il,dpltoln 11.11 IIp1�4•tl' :I!;I�'�
Legal Description:
Properly Tax ID#: 2317-232-0012-000-9
Site Plan Name: Lot No.
Project Name: Block No.
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 3 TON 14 SEER 10KW
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lona wor t4 a Orme un ert �s permit- c e[ a apply:
HVAC �Gas Tank ❑Gas Piping _Shutters []Windows Doors
Electric �Plumbing ❑Sprinklers Generator �Roof
Total Sq. Ft of Construction. S . Ft.of First Floor:
Cost of Construction:$ 4476.00 utilitles:'2 Sewer❑Septic Building Height:
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NameANNA 11I 1'.
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Name: �oHN V LANGEL
Address:1546 PULITZER ROAp SEA COAST A/C
FT PIERCE Company:
City: State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34945 Fax: FT PIERCE”
City: state:FL
Phone No.216.5560
E-Mail: Zip Code; 34946 Fax: 466-3053
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) g C,'AGO16446
State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNERIENGINEER: 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: —NotApplicable
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 pun makes no representation that is granting a permit will authorize the permit holder to build the subject str ture
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.Lucle 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 your operty.A Not- e of Commencement must be record and posted n the jobsite
before the first inspect n. If you lnte�/dj('obtain financing,consult with le erorana rney hefore
commencing work oriecticirdin gA/our 0 CeAf Commencement. 17
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Signature of Owne essee/Agent Signature of actor 'cerise der
STATE OF FL STATE OF ORIDA
COUNTY OF�sT u a COUNTY 0 ST LUCIE
The.o 'ng instrurn nowl e ore me The forgoing instrument was acknowledged tpTe`me
JUN2
this35ay of eJ2 by this 11 day of 120
JOHN V LAN
,tL V JOHN V LANGEL
a e person knowle) Ing) (Name of p so ack ledgin
Vn ,1
Co7Cf
(Signatu otaryPubII State ofFlorida) (signatureofNo Florid
Person y x 1SW ation
Person fly Ki`own x ly
Type of AA50 Type o Ie nWic
A
COMM 30,2016 EXPIRES August SO.
0..
Commission9 Avg' commi
Plot idaNg 9drV1cgs
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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