HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 15d� — 053 -
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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 COrT merClal Residential X
PERMIT APPLICATION FOR', McChanical
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Address- 7907 ARTHURS RD
Legal Description;
PropertyTax ID#: 1301-604-0012-0008 Lot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE 3.5 TON 16 SEER 10 KW A/C CHANGEOUT
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HVAC Gas Tank ❑Gas Piping Shutters n Windows Doors
11 Electric 171_Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 5 . Ft.of First Floor:
Cost of Construction:$ 5925.00 Utilities:Sewer 115eptic Building Height:
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Name DAWN WARREN Name: JOHN V LANGEL
Address:7507 ARTHUS RD Company: SEACOAST A!C
City: FORT PIERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City: FORT PIERCE State;FL
Phone No.772-559-0124 Zip Code: 34946 Fax: 772.466-3053
E-Mail: Phone No. 772-466-2400
Fill in feesimple Title Holder on next page(if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CACO16446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not MO GAGE 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 has commenced prior to the issuance of a permit.
eCoun rnakes no representation that Is granting a permit will authorize the permit holder to build the subject structure
8
'WLurl incon conflict with any applicable Home Owners Association rules,bylaws or and covenants that rn restrict or prohibit such
which 5 M a
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 result in your paying twice for
improvements to ur property,A Notice of Commencement must be recorded aind posted on the jobsite
before the first ins wor yection. If yo intend to obtain financing, consult with lend an attorny before
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commencing orr recordiniYvour-Notice of Commencement.
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Signature 0 ner/_LesseeSignature of Contfr_ r'License H7
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STATE ;XORIDA nt STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OFSTLUdIF
Theoing instrument-wal a0nowledgeefore me The forgoing instrumentwas acknowledged before me
Chis day 20 15 by this 37 day of 'ul-' by
20
JQAV LAN JOHN V LANG15L
(foarpe perso ac now Is n (Name of per ck iedgin
(Sign
tT NotaNPublic-State of Florida) (Signature of N'N P of Fl a
Personally Know 7/7`0�! %R wmay &Ayf AAwp i�L i Personally Know
at a ,jwd MY COMMISSION#FF1 480;,'? Type of Identific ti rf gAV r
Type of Identific . ! !, Ii I 0MUjczc;1nN#EE14$07
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EXPIRES August 30.201 a .......... 18
EXPIRES ugust 30,20
Commission No Commission No, 71, E I Flpdda rVICS.Com
Revised 07/15/2014
REVIEWS rRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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