HomeMy WebLinkAbout1508-0356 08/24/2015 06:54 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: Permit Number•/vDU ~00'5(p
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort fierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 15 LAKE VISTA TRAIL#104 PT ST LUCIE FL 34952
Legal Description:
Property Tax ID#: 3422-500-0200000-2 _ 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 TON 14 SEER 5KW
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Additional work toa Orme un er his permit—c ec a app y: -
HVAC Gas Tank EGas Piping _Shutters Windows/Doors
11 Electric Q Plumbing []Sprinklers ❑Generator g Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3766.00 Utilities:0Sewer D Septic Building Height:
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Name ROBERT BOUDREAULT Name: JOHN V LANGEL
Address:667 SE CALMOSO DRIVE Company: SEACOAST AIC
City: PT ST LUCIE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34983 Fax: City. FT PIERCE state:FL
Phone No.772-349-4234 Zip Code: 34946 Fax: 466-30$3
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR(aROL.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. -
08/24/2015 06:54 7724662417 SEACOAST SHEET METAL PAGE 05