HomeMy WebLinkAboutBuilding Permit Application 06/25/2015 07:18 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: oti. C, Permit Number:
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Building Permit Application
Planning and Development Services
Ruilding and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34.982
Phone:(772)462-1553 rax: (772)462-1578 Commercial ��. Residential
PERMIT APPLICATION FOR: Mechanical
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Address: 14385 DULCE REAL —
Legal Description:
Property Tax ID#: 1305-111-0001-000-0 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 4 TON 4SEER 10 KW
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t{ona war to e e o me un er is permit—c ec a apply:
HVAC Gas Tank []Gas Piping Shutters Windows/Doors
11£leotric ❑ Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 5 Ft-of First Floor:
Cost of Construction:$ 4498.00 Utilities-, Sewer Septic Building Height:
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Name EDWARD ROCKLEIN h Name: ,JOHN V LANGEL
Address:12804 SW 122ND AVE Company: SEA COAST A1C
City: FT PIERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City: FT PIERCE State:FL
Phone No.772-448-4905 Zip Code: 34946 Fax: 4663063
17-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page (if different G-Mail: TLSPACOASTAIR@AOL.COM
from the owner listed above) State or County License: OAC016446
if value of construction 15$2500 or more,a RECORDED Notice of Commencement is required.
wr Cur GV1"J unto �it+ooc41� btHl;UHb! SHttI MtIHL
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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 MOLDER: 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 prI&to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit 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 nonresidential 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 recorded and posted on the jobsite
before the firsfInspection. If you intend to obtain financing,consult with! der or an attorney before
comrnencin k or ret di r Notice of Commencement.
5
Signa of Owner/Le ee/Agent Signature of tractor Licen a Ho er
STAT . F FLORIDA STATE O LORIDA
CO TY OF _ COUNTY OF ._
Th g instr ne w owledge ore me The g instru�ie w s ck owledg fore me
thGG�Gay of, 20 thi�y of 20�by
JOHN V I.ANGELA JON V LANGEL _
{Name o son acknowl ging) {Name p rso ckno .dging)
(Signature of to Public- to of Florida) (Sig,nature C
ot ry Public-Sta rids)
Personally K Produced identification Personally Known X OR Produced Identification
Type of Identific o roduced• Type of Identification Produced
commissi N (Seal) Commission No. �'�"T10'"`" (Seal)
b,
Revised 4?/]. Zd` _`-0,0 ) N?
C+ C"►
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REVIEWS FRO �s' Q SUPERVISOR PLANS VEGETATIO � 5�',� MANGROVE
COUNT �{ REVIEW REVIEW REVIEW REVIEW
DATE -�
COMPLETE
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INITIALS ` r� '-