HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1506
Date: PermitNumber: olp 1.
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 X
PERMIT APPLICATION FOR: Mechanical
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Address: 1601 N 42ND STREET
Legal Description:
Property Tax ID#: 2406-506-0015-000-3 Lot No.
Site Plan Name: block No,
Project Name:
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LIKE FOR LIKE CHANGE OUT 3.5 TON 16 SEER{OKW
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wto e e orme under Is permit—c ec a apply:
OHVAC [] Gas Tank ❑Cas Piping _Shutters Windows/Doors
11 Electric ❑Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4895.00 Utilities: Sewer Septic Building Height:
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Name DELPHINE MCCOY Name: JOHN V LANGEL
Address:1601 N 42ND STREET Company: SEA COAST A/C
City: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34947 Fax: City: FT PIERCE State:FL
Phone No.979-3211 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$2500 or more,a RECORDED Notice of Commencement is required.
VO 39dd -1V13W 133HS 1SVOOd3S LTbZ99bZLL 90:9T 9TOZ/b0/80
DESIGNER/ENGINEER: �Not Applicable MQRTGAGE COMPANY: _Not Applicable
Name: Name•
Address• Address
City: State: City: State.
Zip: Phone: zip:. Phone:
FEE SIMPLE TITLE HOLDER, Not Applicable BONDING COMPANY*. Not Applicable
Name: Name.
Address: Address-
City: City:
Zip! Phone: Zip:_Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St-Lucie Count v makes no represent tion that is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with any applicab le Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,In all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucia County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
@CCeSSOry structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residentlal use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may esult in your paying twice for
improvers to your property.A Notice of Commencement must be relco ecland post n a jobsite
CC) -ed 0
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before the st inspecyon. I you intend to obtain financing, consult with der or an�torne#fore
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cornmenc' work orl cordiAg vour Notice of Commencement.
-$'rnure of Owne Lessee/Agent Signature of ntractor/ alder
U EOF L2 R 1A S! Zco' Rl DA
TY or L'
U NTY OF UT LUCEI COUNTY OF ST LUCIE
Th ming fnstr m �adgej'15. fore me The forgoing instrument was acknowledged before me
®rn 5 AUGUST
thi:J day of this—day of by
JOHN V Lm�L JOH
- QEji.
(Na person ac n w ame ers n acknowledgin
(SIgna—ture- otary Public-State lorida)
�772 ��010
6072
P rrion Ki4 vw-5�0_- 110 t1fication ee..........
0 Identification
Av
ry
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072
Comm��— (Sea]) rzS August 30,201 a (seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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