HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; .1001, 4;'1__-'> Permit Number*JIS
RECEIVED
I Plann.ing I I a-nd I Developmen I t Services Building Permit Application JUL 2 3 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-15.53 Fax,(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR' Mechanical
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Address: 3150 N Al A#404
Legal Description:
Property Tax ID#- 1425-610-0017-0003 Lot No.
Site Plan Name. Block No.
Project Name:
Setbacks Front Back Right Side: Left Side:
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LIKE FOR LIKE 3 TON CARRIER WATER SOURCE HEAT PUMP
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Additiona work to bgbrtormed uncler tnis permit—check all apply:
zHVAC
1 _pa In Shutters Windows/Doors
Li Gas Tank DGas Piping 11
Electric 1i Plumbing OSprinklers Generator ID Roof
Total Sq. Ft of Construction: Scl. Ft,of First Floor.
Cost of Construction: 4450.00 Utilities:11 Sewer Septic Building Height,
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Name MARIA SEAVEY Name: JOHN V LANGEL
Address.292 S TRADEWINDS AVE Company, SF-A COAST A/C
City: LAUDERDALE BY THE SEA FL State: Address., 2601 INDUSTRIAL AVE 3
Zip Code: 33308 Fax: City: FT PIERCE State:FL
Phone No.954-816-8134 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: TLSEAC0ASTAIR@A0L,C0M
from the Owner listed above) State or County License: CAC016446
If value of construction is$2SOO 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:—
Zlp: _ 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,
St.Lucie Count _makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contllct with any applicable Nome 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 result` your paying t ice for
improvements to ur property. A Notice of Commencement must be recorded d posted on a jobsite
before the first i pection. If y intend to obtain financing, consult with tender ran attorne efore
commencingw r recordin our otice of Commencement.
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_Signature wner/Lessee/ ent Signature of Co74ulcic
Y.Vf
/L•icense Holder
STATE LORIDA STATE OF FL
COLI OF�I.Uo+e COUNTY OF
The f ing instrum n sack owled before me The forgoing instrument was acknowledgrby
fore me
thio ay of 2 ,,,_hy this—" day of Iucv 20
JOHN V JOH NGEL
{ of on acknowled ' j am person acknowled '
Igna o lic-State of Florida) ( gna re Notary ublic-Sta of Florida)
Personally known x -OR Produced Identification Pers ally Kn n x _ O Produced identification _
Type of Identification Produced Ty e of en .on ro uce
Commission IVo. :.rr�+ -ERP•G'( `Y LpNGEL Com , pj> a �st'rr. �1igSION#FF(�aip
� :i;,S August 30,2018
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ust 30,2018
Revised 07/15/2 )30.oi53 pior,tlaHota+Ysa�ice.cam
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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