HomeMy WebLinkAboutBuilding Permit Application 08/25/2015 09:15 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-,),s Permit Number:
RECEI�y'rD AUG
Building
2015
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
�1�� � '.�, ., �!•r:r' 1 1 P, ,+ o ,y..5 leu ,�.
1"��! IW/�1R4NV,I�i•' I'{•\�YV,II is IW!I,`. I.. /�{ i�l'WY'1/�M�l�l.tl!! II (:illll,lll �I II (!II Il illi �l�Si�i.L,AI� I 1+�.'i�' t I Ifni
Address: 6012 BUCHANAN DR
Legal Description:
Property Tax ID#: 3402-603-0138-000-0 _ Lot No.
Site Plan Name: Block No.
Project Name:
setbacks FrontBack: _ Right Side: Left Side:
I 1 i ,.y 11 r6 a 'r` r,. � u,'h,rF. •-S. , li 1�! ilnl,o-'i °' Ifi'(ii " I I I E' I llm'bRl 'I:,'' ' }, I,�„n�� o,.�.�mniaa mei
p I ' f 1 II` ��� I i l Ili Il Iiia II : I ,1 I,�«�„ , '► ,,,L.
i i � n� .,.I,,, �,��r� 91 •ul ry Ill•) 11 'M i I If iii,I I Fi 'I �i of' ,iiiI d'
LIKE FOR LIKE 4 TON 16 SEER 10 KW AIC SYSTEM
�%�Ali I I (I�P;;1
it I l i I,;11,111.1, I :'r' I G (illi L.aI'Iil III' 1
'�'1� � '�I��%.f�` ,f�l�� �� "I� I';I!:y• ' 1 I !i;�I!,f i i, '��! (il'I dlr:o��;l II
il,���,:
i, n .,�1, i ,.r+ h„ � 1• a ,��.,. � S.,I ,I 1 ,!;./ �iln 11 i..d.,.,,,.,,,,,'IIL,� I � � d'' r•1. i :"r,.., .'r v.�,•:,•fr;a,,;• �Il.;�n�n,,��
Additional wor to be Derformed under this permit—check all appy:
0 HVAC Gas Tank []Gas Piping _Shutters 11 Windows/Doors
Electric Plumbing ❑Sprinklers Generator ❑Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5337.00 Utilities:OSewer❑Septic Building Height:
I '" 4'.II ••��...�'I {III t7. !: %PILI; �'ui '1 l'lIiI,.II.I��"T�•: i I ��sr}S, �� I 1I 1 i 1 h.ii^i.jA'I!"{il<.l)1I I�'i i I1 I j%,I'�I;,IIj,'l I I�I'II.r°,.,sI��!III I �I I {II Ili ( .Ad 41i 1 1�!2J111II;i 1 i I' I II}f:'1',.4.i IIrl"•SIII�If Ii I 1IIf Ii III'`I 1
Name AMERICA'S SERVICING COMPANY/ROGER MO_S_E_LEY Name: JOHN V LANGEL
Address:7495 NEW HORIZON WAY Company: SEACOAST A/C
City: FREDERICK State:MD Address: 2601 INDUSTRIAL AVE 3
Zip Code: 21703 Fax: City: FORT PIERCE State:FL
Phone No,772-216-1003 Zip Code. 34946 Fax; 7724663053
E-Mail: Phone No, 7724662400
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 13 required.
08/25/2015 09:15 7724662417 SEACOAST SHEET METAL PAGE 05
•lr,.,° ..1.. a°, s I qg"
'�tll ",I., '�I!JIIII .,l is I I II c. i' L. .'i ,� ,.� •,1 I I;,.
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: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: ZIP: Phone:
I certify that no work or installation has commenced prior to-rhe issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict 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_
inconsideration 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 TQ NER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements o your operty. A Notice of Commencement must b recorded and posted on the jobsite
before the fir inspect' n. If you intend to obtain financing,consult ith lender or attorney before
commencin r _or cor 'n our Notice of Commencement.
1� s
_5ignat of owner/ essee/Agent SigZOF
f Contractor/Lice a Holde
STA OF FLORI ST FLORIDA
COUNTY OFsTLucl COUNTY 0Ftr-CIE
The forgoing instrument was acknowledged_Oefore me The forgoing instrument was acknowledged before me
this�a day of Vo 20 by this 25TH day of AUGUST
JOHN V LPGL� JOHN v LANG
(Name f son ac no dging) (Nameers n acknowled ' ]
(5ignatur lorida (Signa url' to o
e'dNir'ti y tr •.'
Personal[ n � }�- CdL7e2dlt18Tit(tiCfII�' Personally K t3�iin ': T i demon
Type ofif I4R"tzB ra°MMISSION#FF148Q72 Type of[den �M1 �o is MISSIo
td.dd°i' EX uy�st30. 2076 (407)3ae.01$3 P! ffS -gust 30. 018
Commission
a177}39BQi53 FIO�itlallotA com CommisslDn i°r►tleNotgeysery(�
Devised 07/15/2019'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS