HomeMy WebLinkAboutBuilding Permit Application (2) 09/14/2015 14:80 7724662417 SEACOAST SHEET METAL PAGE / 4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number..
Building Permit Application
Planning and Development services
Building and code Regulation Division
2100 Virgin(a Avenue, Fort Pierce FL 34.982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
ON
Address-, 6701 DELAND AVE
Legal Description.
PropertyTaxlD#, 1301-612-0337-000-7 Lot No.
Site Plan Name, Block No.
Project Name:
Setbacks Front_ Back: Right Side., Left Side:
LIKE FOR LIKE CHANGE OUT 3.5 TON 14 SEER 10 KW
.01 ZHVAC Gas Tank L]Gas Piping Shutters Windows/Doors Electric 171 Plumbing oSprinklers Generator Roof Total Sq, Ft of Construction: SCI. Ft.of First Floor:Cost of Construction.$_�356.00 Utilities:0 Sewer 0 Septic Building Height:Name GLENN DEBORAH GOBER Name: JOMN V LANGEL Address:67041 DELAND AVE Company: SEACOAST A/C City,, FT PIERCE State, Address- 2601 INDUSTRIAL AVE 3 Zip Code: 34951 Fax: City: FT. PIERCE Stawfl.Phone No.332-0872 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@AOL.COM from the Owner listed above) State or County License: CAC016446 If value of Construction Is$2300 or more,a RECORDED Notice of Commencement is required.`
09/14/2015 14:00 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 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.Lucie County makes no representation that is grantlne a permit will authorize the permit holder to build the subject structure
W 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,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and 5t.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 OW •Your failure to Record a Notice of Commencement may result' your paying twice for
improvements to:NE
o property. A tice of Commencement must be recorded d posted a the jobsite
before the first inp ct'on. If y u 1 end to obtain financing,consult with lender r an attorn b fare
commencingwor r cordi IrAotirA of Commencement.
s
_Signature o nor/Lessee/Age Signature of Contra r/License HoIde
STATE O ORIDA STATE OF FLO DA
COUNTY F sT LuclE COUNTY OF,T LUCIE
The f ing instrume s owledge fore me The forgoing instrument was acknowlede abefev me
this ;_day of 20y this 15 day of gEar 24 by
JOHN V L4NGEL' JOHN V LANGEI,
(Name of person a nowledgXhg (Name of per nowledgi )
(Signature of otaryub'c-State of F rida) (Signature of - tate of
Personally Known x OR Produced Identification Personally Know x OR Produ d Identification
Type of identification Produced Type of identification Produced
Commission No. ' Commiss
io tyo
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