HomeMy WebLinkAboutBuilding Permit Application 07/31/2015 08:18 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r��J -0�
Date: "` —3 1 ��. Permit Number:, l 7 b
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Building Permit Application
Planning and Development Services
80ding and Code Regulation Division
2300 Virginia Avenlre,Fort Pierce FL 34952
Phone: (772)462-1553 Fax:(772)462-1,578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 3464 southern pines blvd
Legal Description:
Property Tax ID#: 2428-702-0039-000-7 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 2.5 ton 14 seer 8 kw
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Additional work toe e orme un er t Is permit—c ec a appy:
❑HVAC E]Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric ❑Plumbing ❑Sprinklers U Generator Roof
Total Sq. Ft of Construction: 5 . Ft.of First Floor:
Cost of Construction:$ 4297.00 utilities:nSewer Septic Building Height:
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Name Christine lea Name: john v langel
Address:3464 southern pines blvd Company: sea coast a/c
City: ft pierce State: Address: 2601 industrial ave 3
Zip Code: 34982 Fax: City: ft pierce State:
Phone No,971-8007 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: tlseacoastairp_aoi.Com
from the Owner listed above) State or County License: caco16446
If value of construction is$ZS00 or more,a RECORDED Notice of commencement is required,
07/31/2015 08:18 7724662417 SEACOAST SHEET METAL PAGE 05
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: NotApplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotAppllcabli� BONDING COMPANY: Not Applicable
Name: Name:
Address; Address
City: City:
Zip: Phone- Zip:
I certify that no work or installation has commenced priorto the issuance of a permit.
St,,Luc!,e County makes no representation that is granting a permit Will authorize the permit hold-or to build the subject structure
w :h s In conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homo Owners Association and review your deed far 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 applIC2tions 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 ur property.A Notice of Commencement must be recorded and posted on the jobsite
10
before the fit spection If you intend to obtain financing,consult wtffl lender or an attorney before
commencin"Bik or reoordin"our Notice of Commencement. it -
Sig a of Owner/ see/Agent Signa bf contract
S OF FLORI ST .ytoFFLOR A
T rl .a
The oing instrumei acknowledgetletmfore me The forgoing instrument was acknow(edgod-before me
thiftday oil this-LI—day of luly _'20&L by
!,oi n gi on f,t r u
day
r(NJf person ackn ledgein (No of on ack wledging)
tZ
PubUltate of Florida ar�Pu' L tate of Flo ida)
Personally Known x OR Produced identification Personally K n X OR Produced identification
Type of Ident1fication Produced— Type of Identific id roduced
Commission No., (Seal) Commission (Seat)
Revised 0
Xv
REVIEWS FRONT VISOR PLANS VE13ETATION ANGROVE
lot I EW REVIEW REVIEW L REVIEW
D�TE COUNTLR R E V%111
COMPLETE
INITIALS