HomeMy WebLinkAboutBuilding Permit Application 06/24/2015 14:18 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST Be COMVLETED FOR APPLICATION TO BE ACCEPTED
Date: G permit Number:
RECEIVED JUN2 5 2015
• !
Building permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone_(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 240 SEA CONCH PLACE
Legal Description:
Property Tax ID#: 3410,508-0316-000-5 Lot No.
Site Plan Name: [clock No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 3 TON 14SEER 10KW
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Additionai wor o e Derrormecl un er t !s permit—ctleck all appy_
E]HVA I:Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric Q Plumbing Sprinklers Generator ❑Roof
Total Sq. Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ 410.00 Utilities: Sewer Septic Building Height:
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Name TROPICAL ISLE/TIM BRYSON Name: ,JOHN V LANGEL
Address:281 TROPICAL ISLES CI Company: SEA COAST A/C
City: FT PIERCE State:_ Address: 2801 INDUSTRIAL AVE 3
Zip Code: 34982 Fax: City. FT PIERCE State:PL
Phone No.631-7092 Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Halder 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 nr more,a RECORDED Notice of Commencement is required.
05/24/2015 14:18 77246624117 SEACOAST SHEET METAL PAGE 04
before the first in� n
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,
Zip: 'Phone. Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St,Lucier-oun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
tMt with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
which is in con, 1.
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 concbrrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential us e
WARNINGTOOWIN :Your faillure to Rrcord a Notice of Commencement may r Sul your paying twice for
improveme y9JA property, Ocitice of Commencement must be record d posted onthe jobsite
fectio . If you ntend tA obtain financing,consult with len rana or before
uri4oX"We of Commencement,
commencii,ngwor or ecQr;dingArc
Signature o 0. ner/Lessee/ASW Signature of Cont7rar/License Holder
STATE OF RIDA STATE OF F1 IDA
Th o ing I U M, ta cknowledge efore me The forgoing instrument was acknowledged before me
20 this 25 AIM
day a My fore
th3!�dagy` . - day of .20
fly by
Personally n Al CK"Alre Personally Know _OR ro uc d Identification
Commission (seal)
SIPAI#P97
71
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTI..� MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS