HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number;_ J o(14
Building Permit Application
Planning and Development Services
Building and Code Regulaticn Division
2.300 Virginia Avenue,Fort Pierce FL 34,982
Phone:(772)4621559 Fax:(772)462-1578 COmmerciai
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PERMIT APPLICATION FOR: Mechanical
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Address: 481TREE TOP TRAIL n.�(�.` „11un•U„!i[l�1Ali1:,,i1!i';n11l!Y,1(1,Uli.i'(tl�,ll"auat„LArii.i1,l:G.�a,..„,:".'!'.,�Pair':”
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Legal Description:
Property Tax ID#: 1418-243-0010-000.6
Site Plan Name: Lot Na.
Project Name: Block No,
Setbacks Front Back:
����- Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 2.5 TON 16 SEER KW
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[MVAC Gas Tank L]Gas Piping p g �Shutters �Windows/Doors
Electric Plumbing Sprinklers
Generator �Roof
Total Sq. Ft of Construction:
Sq,Ft-of First Floor:
Cost of Construction:$ 5012.00
Utilities: Sewer Se
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Building Height:
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M, I!WETVILLER IAt�•;:•;'
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Address:4811 TREETOP TRAIL Name: JOHN V LANGEL
City. FT PIERCE; Company: SEA COAST A/C
Zip Code: 3 F
4951 State:` Address: 2601 INDUSTRIAL AVE 3
ax: FT PIERCE
Phone No.772-686-2748 City: State:FIL,
E-Mail: Zip Code: 34946 Fax: 466-3053
Phone
Fill in fee simple Title Holder on next page I if different E-Mail: TLSEACOASl'AIR@AOL.COM
from the Owner listed above)
state or County License: CACG16446
If valuQ of cpnstruction is$2500 or►r,ore,a RECOR4ED Notice Of Co m
m encement is required.
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DESIGNER/ E COMPANY, Not Applicable
Name,
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:
Phone: Zip: Phone:
I cartifythat no work or installation has commenced priorto the issuance of a permit.
St.Lu Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Lucie
n con�
which Is I,ct 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 paying twice for
improvements Zt your property.A Notice of Commencement must be recorded and posted on the jobsite
before the Wurst spection. you intend to obtain financing,consult lender or 7 attorney before
commencing rk or recd in g vour Notice of Commencement W/1 . A
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—Signature owner/Les /Agent� Signature Contractor a Hold tr
Signature
re
FLORIDASTAT FLORIDA STA OFIY
0 CO Ty FL
COU YOFsTwc4p OF T ucl _
Th"oing In ru n acknowled The forgoing Instrument was acknowledg e me
.1 15-efore me ?"�
this+day o by this I day of A113 21)/__I_by
JOHN V! ELl JOHN V LANGQL
e erson acknowl ging 1 (Name QA1_e*fr_acknowledging)
tlublic e of Florida) (Sig' ure
Persona K n rRP i Personally own X
R Produced Identification OR Produced identification
TypeOS
ype o ification Produced Type of ide ific ced
Commission No. (Seat) Commission z j
(Seal)
J
"h XV V L)
'0 o",
Revised 0'
7/151201
REVIEWS FRONT Z PLANS VEGETATION N ��E
COUNTER REV ,.REVIEW REVIEW 4>11REVIEWANGROVE
DATE uyp pyo00,
COMPLETE
INITIALS
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