HomeMy WebLinkAboutBuilding Permit Application 09/11/2015 06:51 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: 0\ Permit Number:
RECEI'."7D SEP 112015
Building Permit Application
Planning and aevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-,7553 Fax: (772)462-157$ Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 10631 DINE NEEDLE DRIVE
Legal Description:
Property Tax ID#: 2321-802-0021-000-7 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 16 SEER 10 KW
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1 lona war to be bgrtormedun er Is permit—G ec a - apply,
HVAC 1I Gas Tank _
❑Gas Piping Shutters ❑Windows/Doors
❑Electric Plumbing ❑Sprinklers ❑Generator ❑(Roof
Total 5q. Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction;$ 5410.00 Utilities: Sewer Septic Building Height:
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Name WALTER/CATHERINE SWENTZELL Name: JOHN V LANGEL
Address:10631 PINE NEEDLE DRIVE Company: SEACOAST AIC
City-, FT PIERCE State:_ Address: 2601 INDUSTRIA_ L AVE 3 -
Zip Code: 34945 Fax: City: FT PIERCE State:EL 11
Phone No,466-2400 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: TISEACOASTAIR@A01-40M
from the Owner listed above) State or County License: CAC016446
If value of construction is$7500 or more,a RECOR05D Notice of Commencement is required.
09/11/2015 06:51 7724662417 SEACOAST SHEET METAL PAGE 05
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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 RONDING 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.
5t.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 Horne 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,per-Form the work
in accordance with the approved pians,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 recorded and posted on the jobsite
before the first ingiection. If y u intend to obtain financing,consult with lender r an attomey before
commencingwo or rscordi our Notice of Commencement.
V/�u '-AA Vl//X/ s
Signature weer/Lesi gent, Signature of Contrac /License Hold
STATE FLORIDA STATE OF FLO DA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this __ day of 20 by this 1i day of seer _ ZO _by
A<VIANOELI JOHN v inNG
(N me of per n cknowledging) (Name erso acknow la
igna re o ar Public a (Signature of=41aryublic-Perso ll K wnx R Produced Identification Personally Kn OR Produced identification
Type of identification Pro _ Type of identifica Produced
Commission No al) Commission }�- ' (Seal)
r Tpjyq�T pi:
Revised 07/15/2014 ' ft�4�jt� 11/
REVIEWS FRONT ZONING PLANS VEGETATION T��+Q, ANGRC?VE
COUNTER REVIEW R REVIEW REVIEW Vt O, REViEW
DATE
COMPLETE
INITIALS