HomeMy WebLinkAboutBuilding Pemit 09/14/2015 13:48 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n�
Date: _ _ Permit Number: I Scpo
1. a �•
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
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Address: 3236 W LAKE OR
Legal Description: _
Property Tax ID fit• 2427-6030044-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: ,Right Side: Left Side:
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LIKE FOR LIKE 3 TON 16 SEER 10 KW A.0 CHANGEOUT
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Aclaltlonalw)rKl ) e e Orme unclertnis permit—t e cK allappy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric
indows Doors
Electric ❑Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft, of First Floor:
Cost of Construction:$ 5356.00 Utilities: Sewer 0 Septic Building Height;
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Name JOHN YANCY Name: JOHN V LANGEL
Address.-SAME Company: SEACOAST A/C
City: FORT PIERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code• 34982 Fax: City: FORT PIERCE State.FL
Phone No.772-468-6999 - Zip Code, 34946 Fax- 7724663053
E-Mail: Phone No. 7724662400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIRQAOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
09/14/2015 13:48 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 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. Lucle Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in con lict 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 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 p perty,A Notice of Commencement must be record and posted on the jobsite
before t e first inspecti n. If you intend to obtain financing,consult with le er or an att ney before
comme ng work or r#ccsdWk your Notice of Commencement.
s
S( ature of O er Lessee/Aktnt Signature of rector/Licens older
S ATE OF FLO A STATE LORIDA
COUNTY OF sr cle COU OF UT Gude
The forgoing instrum,nt was acknowledge efore me The forgoing instrument was acknowledged_ before me
this 1�_day of ` Y 201 1>y this " day of SEPT
JOHN V LANG JOHN V LANGEL _
(Name of r o acknowledgin (Name of peraknging)
(Signauixe4f Nat P - --(signature of Notary Public Stat of Florida)
►�s" }f NGEIL
Personally Know T P ' i �t�fi �a,�,� Personally nW ', gI
Type of identifica Illrt Type of Ide Mo n rCommission No. (,4-^07)3 EXPtFt1=S Augusto.
8&615? torideN n,ice.com Commissio
1na7L398 0153 or, a oto Scrv,e.cv
Revised 07/15/201 :
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE'T'ATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS