HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE FO I�JUST Be COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Olvision
2300 Virginia Avenue,Fort Pierce FL 34992
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 7106 PENSACOLA RD
Legal Description:
PropertyTax ID#: 1301-612-0144-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: ,^ Right Side: Left Side:
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IJHVAC Gas Tank Gas Piping _Shutters Windows/Doors
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Total Sq. Ft of Construction: SO,Ft.of First Floor:
Cost of Construction: $ 4611.00 Utilities:0 Sewer Septic Building Height:
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Name JEREMY JACKSON Name: JOHN V LANGEL
Address:7106 PENSACOLA RD Company: SEACOAST A/C
city: FORT PIERCE State:FL Address: 2601 INDUSTRIAL AVE 8
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No,7728920609 Zip Code: 34946 Fax:
7724663053
E-Mail: Phone No. 7724662400
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: CACO16446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
60 39Vd -1V13W 133HS 1Sd00d3S LTbZ99bZLL 9Z:OT STOZ/5T/L0
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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 TITLEHOLDER: _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.
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 non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may r sult in your paying twice for
improvements to your property.A Notice of Commencement must be 1 recd de I and posted on the jobsite
before the first i4ection f with I ran -1+ before
Ifo i9tend to obtain financing,consult w !r o T%Iorn
commencing wootor recoiz
qgdur Notice of Commencement.
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Signature o n ractor lice olde
Less
"ina Owner/
STAT FLORIDA STATE 0 FLORIDA
0��LLIcIE )7� 7
COU�7 COUNT 0Fs-rLuc1P —
The forgoing instrument as acknowledgeqfiefore me The forgoing instrument was acknowledged eforeme
this day
JULY 20 _
20 by this 1h.. 15 day day of by
_Jellsl�VNOElol'�
Na e of p acknowledging (N o arson acknowl n
Florida)
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Re onall KnMA ri,� Perso ally Known
Ty entifiii;1Don ComMISSION#PF148072 Type o entifi vn.P Oa�d YcQmM1SS1QN#FF148072
EXPIRES A st 30,2018
EXPIRES Augul 30.2018
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Commission No n0o Comm! Dn N 4W)4911 1 414 rA Hwidahlo�=Ice.=
Revised 07/15/2014
Per on)a
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
0 PLFTE
INITIALS
90 30Vd IV13W 133HS 1SVOOV3S LTVZ99VZLL 9Z:01 STOZ/91/L0