HomeMy WebLinkAboutBuilding Permit Application 09/02/2015 13:30 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED SEP o2 2015
Building Permit Application
Planning and Developrnent 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
wit
Address: 8179 SANDWEDGE TERR
Legal Description:
Property Tax ID#:_342�-705-0140-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back, Right Side: Left Side:
LIKE FOR LIKE CHANGE OUT 3 TON 14 SEER CARRIER PACKAGE UNIT
AdditionalworKto gene arm underthis permit—check all that apply:
DElectric Plumbing 7Sprinklers 17 Generator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4381,00 Utilities:[]Sewer 7 Selt1c Building Height:
Name PHILIP ANSON Name: JOHN V LANGEL
Address:3659 SW ST LUCIE SHORES DRIVE Company: SEA COAST A/C
City: PALM CITY State- Address. 2601 INDUSTRIAL AVE 3
Zip Cocle; 34990 Fax: City: FT PIERCE State:f_1
Phone No,475-1652 Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No, 466-2400
Fill in feesimpleTitle Holderon next page(if different E-Mail: 7LSEAGOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction is S2_;130 or more,a RECORDED Notice of Commencement is required.
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09/02/2015 13:30 7724662417 SEACOAST SHEET METAL PAGE 05
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DESIGNER/ENGINEER: T 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:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countty�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 cansuit 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 pool$,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TOO NER:Your failure to Record a Notice of Commencement may result in your paying twice for
Improvements your property.A Notice of Commencement must be recorded and posted on the)o site
before the fir n pection. if u intend to obtain financing,consult with len er or an att rney before
commencin Q or recon a Notice of Commencement.
STAgnat f owner/Lessee ent signature of Con ctor/License H er
F FLORIDA STATE OF ORiDA
CO TY OF�TLucii COUNTY FsTwcie
The r mg instrument w c owledge a ore me The Ding Inst acknowledg ore me
this�ay of 20 y this day of 20 by
Jarcrt GELL JOHN v 4hNGEL
Asignature
son ackn le ng) (Nam rson edgi u lic tate of a) (5ignat O N y u i -
Persona y Kno n x R Produced Identification Personally Known OR Produced identification
Type o Ide 'ication Pr used Type of identification Produced
Commission Na. �, �• Co w r�iAt`_V rcn�. a 1)
�'ACf )LgNGEL , LANG
" '• it1YCOMMISSION�1`Ft4807,2
«! «` My CQMMISSION#FF148072
.. �,.7 6Xpl eS Aataus xw �tL�s d,2tD7$
Devised 07(2 1 piss Ftorl 4NOta florrt toga ��, � r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS T 7L _Ak