HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INVO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number: `�11
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Building Permit Application
Planning and Development services
Building and code Regulation Division
2300 Virginia Avenue,Fort Pierce PL 34982
Phone.(772)462-1553 Fax: (772)462-1578 Commercial � Residential' '
FPERMIT APPLICATION FOR: Mechanical
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Address; 2315 n 49th sI
Legal Description:
Property Tax ID#: 1431-701-0170-000-1 Lot Nor—
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Bight Side:, Left Side:
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like for like change out 3 ton 14 seer 10 kw package unit
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! lona wor to e e Orme under this perm —c ecc all appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters Windows/Doors
0 Electric E Plumbing Sprinklers Generator El Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3767.00
utilities Sewer Septic Building Height:
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Name BETTY DUNCAN Name: JOHN V LANGEL
Address:2315 N 49TH ST Company: SEACOAST AIC
FT PIERCE State:,^ Address: 2601 INDUSTRIAL AVE 3
City: City: PIERCE State:FL
34946 Fax: y:
Zip Code: 466-3053
Phone No.971-2070 Zip Code: 34946 Fax:
E-Mail:
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)
State or County License: CAC016446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/I:NGINEER: 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:
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I certify that no work or installation has commenced prior to the issuance of a permit.
SWIlleCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
sincon ict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
w X!, ItA
structure.,Piease 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 Commencemen may result In your paying twice for
improvements to)h6ur prop ty. Notice of Commencement must be ecorded and posted on the jobsite
t nd to obtain financing,consult ith lender r an attorney before
before the first i pection /OuWn a
0
commencinp tA or wolil�g mou r Notice of Commencement.
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Signature Owner/Leg Agent Signatur f Contra.ctor (censekHolder
ur f
LORI
0 Sig"t/
STATE 0 FLORIDA STAT OF FLORID
COUN OF—, COUNTY OF
The f oing iristrume t s a k ledge6before me The forgoing Instrument was acknowledge f efore me
this day Of 20y this eday of ,IDLY 20 by
JOHN V JOHN V LANGEL
(N eo, rso ackn ledging) (Na f 132rs0,, cknowl etgI
(Signat7g77okFjXubIic-State of Florida (SignX
ur f Qaryp T lic-State of Florida)
Personally known x OR Produced Identification Perso 11 own OR Produced identification
CTIA
Type of Identification Produced Type of Identification Produced
Commission No. (Sea]) Cc FMI IVA -.qiA P OW
RACY KAY LANGEq
EXPIRES August 30,201a
Revised 07/15/2014
NG Lr (07)398-010 F10ridaNQtaXy80rv1c6&0M
KAy I-A
FF:145072
"C' I
WK
REVIEWS ulstat!itVdF$!6i8 PLANS VEGETATION SEA TURTLE MANGROVE
B64EWJ REVIEW REVIEW REVIEW REVIEW
DATE ;yarn
COMPLETE
INITIALS
t'0 39Vd -1V13W _L33HS 1SV00V3S I_Tt1Z99t?Z1_L 05:91 q10Z/80/L0