HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 1 Permit Number: 5�1 a3�5
RECEIVED jUL 2 7 2015
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 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
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Address: 5700 EAGLE DRIVE
Legal Description:
Property Tax ID#: 1312'500-0085000.5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 4 TON 16 SEER 10 KW
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+0 i ions M o e e ormea un er Is perm t—Chi a appy:
HVAC [I Gas Tank 17]Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator g Roof
Total Sq.Ft of Construction:_ _ SFt.of First Floor: _
Cost of Construction:$ 6314.00 Utilities: Sewer FI Septic Building Height:
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Name IRA MARGARET PFALZGRAF Name: ,JOHN V LANGEL
Address:5700 EAGLE DR Company: SEACOAST A/C
City: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax:_ City: FT PIERCE State:EL
Phone No.772-+468-0716 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: 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/ENGINEER' Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City, State:= city: State:
Zip; Phone: Zip; Phone:
FEE SIMPLE TITLE HOLIDER- _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address. Address;
City; City:
Zip: Phone; Z11p, Phone;
L
I certify that no work or installation has commenced prior to the issuance of a permit.
St.hcwl i
eCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
ws n 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 result in your Flaying twice for
improvements toy Notice of Commencement must be recor ed and posted on the jobsite
, gur property.A
before the first in �c
. action. I y U intend to obtain financing,consult with I der or an Aftorney before
commencinig wo/V or recordi7m Your.Notice of Commencement. A 17
Signature wner/Lesse gent Signature 71 ntrkt-or/bice Holder
STATE STATE OF FLORIDA
COON OF.VrLU01r= COUNTY OF.sTwcla
T Ing instrumef cknowledg eforeme The forgoing instrument was acknowledged reme
'o
t day of L_ 20M7 this 24 day of JULY 20
41_4 GEL1 -JOHN V EL
Na of son knowledging fperson elFrowle g)
a P lic-Stat Florida) Florida
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STATE
Signature
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REVIEWS FRONT ZONING SLIPEMS& PLANS VEGETATION , ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW IkEV�Wl REVIEW
DATE
COMPLETE
INITIALS
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