HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �«
Date: Permit Number:,0_ 0-
' 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)452-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 365 seahorse terr
Legal Description:
Property Tax ID#` 3410-508-0269000-0 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 4 ton 14 seer 10 kw package unit
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I ions worko n6as
ormE un ert Is permit—c ec a mappy:
Z✓ HVAC `tank E]Gas Piping _Shutters �Windows/Doors
11 Electric 0 Plumbing 75prinklers I Generator Roof
Total Sq. Ft of Construction: Sq. Ft, of First Floor: _
Cost of Construction:$ 3913,00 Utilities: 7 Sewer OSeptic Building Height:
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Name RICHARD REBECCA BECK _ Name, JOHN V LANGEL
Address:205 LAKE TERR Company: SEA COAST A/C
City. MUNROE FALLS OH State:_ Address; 2501 INDUSTRIAL AVE 3
Gip Code: 044262 Fax.• City: FT, PIERCE= state:FL
Phone No.330-807-9435 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@ACL,COM
from the Owner listed above) State or County License: CAC01644$
!f value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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Will
W-1,11-1111,
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DESIGNER JENGINEER: Not 4Applicable MORTGAGE COMPANY: —Not Applicable
Name: Name'
Address: Address:
City,_ State: City; state'
Zip, Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER; Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone; Zip:_ Phone'
I certify that no work or installation has commenced prior to the issuance of a permit.
St.k.ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,In all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non�rasldential use
WARNING TOOWNER;Your failure to Record a Notice of Commencement may result in your paying twice for
improvements your prop rty.A Notice of Commencement must be recor d and posted on the jobsite
before the fir Inspection. you intend to obtain financing,consult with i der or an att 'rney be re
cvmmencin ork or,rec di your Notice of Commencement.
s
Sign re of wn rr see/Agen Signature of C tractor/Llcense Ider
ST E OF FLORI / d ( STATE OF FLORIDA
COUNTY OF t,�l l COUNTY OF VL
The oing instr a cknowled afore me The forgoing instrument was acknowlecigV�b
re me
this day ofbY this$day of SEPT zo
JOHN V LAN JOHN V LANGEL
(Na person ac ledging) (Name r acknowl tng
6 CL
(signatur ry Pu (Signature of oto Public-SVroduced
'da)
Personally Kno n x rRProduced Identification Personally Kn wn x OIdentification
Type of identification Produced Type of Identific Produced
Gommissio �.,. .••. X y W QGEL Commi
4"' " 'KAY LAN EL
FR10072
MY COMMiBSION# :,l My COMMISSION*FF148072
11"'q`� E,xpIRES Augu + Qf. '� IRXPACS August 30,2018
Revised 7Qo�r} ,"' PlarldaNuta soNlce•cam (�O�I3 fl.pi53 FioridmNata Semce•com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DINE
COMPLETE
INITIALS
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