HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cc��
Date: Permit Number: ISO
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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
RAI
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Address: 1899 BAR HARBOR DRIVE
Legal Description:
Property Tax ID#: 2303'211-0025-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left
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LABOR AND MATERIAL TO INSTALL (1) 3TON 14 SEER 10KW PACKAGE UNIT
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Itlona war to e e orme un er t Is permit–c pec a appy:
ZHVAC Gas Tank oGas Piping Shutters Windo
— � Ws/Doors
[Ilectric 171 Plumbing Sprinklers Generator L3Roof
Total Sq.Ft of Construction: S _ Ft, of First Floor:
Cost of Construction:$ 4371.00 _ Utilities: 5ewer[jSeptiC Building Height:
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Name PERSWINGMOBILE/OU
TMAN Ndme: JOHN V LANGLE
Address:1895 BAR HARBOR DRIVE Company: SEACOAST
A1C
City: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34946 Fax: City: FT PIERCE State:FL
Phone No.772-777-9005 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, TLSEAC0ASTAIR@AOL,C0M
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 HOLDER: Not Applicable BONDING COMPANY: _Nat Applicable
Name: Name,
Address: Address:
City: City:
Zip: Phone: Zip.I
Phone,
I certify that no work or installation has commenced prior to the issuance of a permit,
St. 8 permit will authorize the permit holder to build the subject structure
w gle County makes no representation that is a
sin conflict with any applicable Horne 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 to your property.A Notice of Commencement must be ed on the jobsite
I pc�orded and post
before the fir V inspection/ If you intend to obtain financing,consult Wyth ender ora yl attorney before
commencingfivrk or recor0in&our Notice of Commencement.
of owner/
sign r Signature C066—acmor/'ice a Tid—ar
STAV
OF f FLORIDA STAT OF FLORIDA—_."
COUNTY OF STLUME COU!ATY OF 5T-Luca:
Th inginstru �eas cknowledged fore me The forgoing instrument was acknowled efore me
or, 40f,
thilfgod2y Of 20 this 14 day of AUG 2d' '
2 by
J0NNVLANGZL'L JDHN V LANQ4L
(Naron acM (Name of oer acknowledging
(Signature Usic-stateQ F1 ida) (Signature e a FloNrvv
'a'
N
Kno OR
ly Produced
Personally ow OR State
identification Personally Kno X OR Produced Identification
Type of ldl7entmcation—Produced Type of Identificatio roduced
Commission No.
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TRAY K LANG71
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j%pjAp_S August 30,ZU1 0
Revised 0711 sefulaxom ItXpI8F_$August.30,2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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