HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number:
ti
RECEIVED JUN`2 6 2015
Building Permit Application
Planning and Development Services
Build/ng and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Commercial Residential x
Phone;(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Mechanical
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Address: 6012 INDRIO ROAD 8
Legal Description:
Property Tax ID#: 1313-501-0040.000-4 Lot No.
Site Plan Name- Block No.
Project Name:
Setbacks Front_ Back:_Right Side-_Left Side:
1 117
imp I
LIKE FOR LIKE CHANGE OUT 2.5 TON 14 SEER 5KW
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ACICIltiOnal worK 10 Dia bertorme un erecK all tM appy:
Gas Tank n= Q Shutters Windows/Doors
11 Electric Plumbing OSprinklers 11 Generator Roof
Total Sq,Ft of Construction: S . of First Floor:
Cost of Construction- 3645-00 Utilities-11 Sewer[]Septic Building Height-
Name LARRY STEWART Namez. JOHN V LANGEL
Address:6012 INDRIO ROAD F-8 Company: SEACOAST A/C
City.. FT PIERCE State. Address. 2601 INDUSTRIAL AVE 3
Zip Code. 34961 .1FL
Pax: City, FT PIERCE State:
Phone NO.466-3433 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: TLSEACOA$TAIR@AOL.COM
from the owner listed above) State or Cod nty License- CACO 16446
Ifvalue o construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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: Name:
Address; Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or Installation his commenced prior to the issuance of a permit.
St,Lucie Countymakes no represent tion that is granting a permit will authorize the permit holder to build the subjects ucture
which is In conflict with any applicab le Home Owners Association rules,bylaws or and covenants that may restrict or plVlibit 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 TCI O NER,Your failure to Record a Notice of Commencement may result In your paying twice for
improvements your pro A Notice of Commencement must be r corded and posted on the jobsite
consult
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before the Firs inspection you intend to obtain financing, co ender r an aAorney before
commencin.g o k orrec im Your Notice of Commencement.
'financing,
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L Signatur f Contractor/
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P ST 0 FLORID Signal r f Owner)Les e/Agent Signatur f Contractor cerise Holder
STAT F FLORIDA STA OF FLORID
COU
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COU YOFsriucir; COUNTY OF 6T LUCIP-
The ng ins r en was acknowledge4-before me The forgoing instrument was acknowledg re me
th1*901day of 20tn this day of JUNe "0
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of person 301owledgin 5V 1 ging)
natu of -ry Pu -State of Florida ALe-of Florida)
Person nown x OR Produced Identification Personally K ow0 I
— Produced Identification
Type of Identification Produced Type of Idents ation Produced
Commission No, iaso Commissl L
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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_DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS INITIALS
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