HomeMy WebLinkAboutBuilding Permit Application 09/16/2015 16:32 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: permit Number
p (`C S d 1- o a91
J�,��+I..1{."70 SEP 171015
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: 1$00 N 35TH ST
Legal Description:
Property Tax ID#: 2405.601-0236-000-7 Lot No
Site Plan Name: Block No.
Projcct Name:
Setbacks Front Back: Right Side: _ heft Side:
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LIKE FOR LIKE 5 TON 14 SEER 10KW A/C SYSTEM
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trona work o e e orme un ert sperm) -c ec a appy:
F HVAC E Gas Tank FJGas Piping Shutters Windows doors
L1Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S , Ft.of First Floor:
Cost of Construction:$ 4675.00 Utilities:Cn Sewer Septic Building Height:
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Name CHARLES CULVER Name:(JOHN V LANGEL
Address:1800 N 35TH ST - Company: SEACOASTA/C
City: PORT PiERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34947 Fax: City: FORT PIERCE State:FL
Phone No.7724614277 Zip Code: 34946 Fax: 7724663053
E-Mail: Phone No, 7724662400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSCACOASTAIRQAOL.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.
09/16/2015 16:32 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 priorto the issuance of a permit.
St.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 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 property. A Notice of Commencement must be recorded d posted on the jobsite
before the first inspeIon. If you i tend to obtain financing,consult with len de r an att e b ore
commencing work or r ordi u e of Commencement.
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_Signature ZIP
ner!Lessee/Age Signature of contr or/License H er
STATE OFIDA STATE OFF RIGA
COUNTY OF STLUCIE COUNTY OFSSLucle
The f g 'ng instr n s wledged ore me The forgoing instrument was acknowledg efore me
this ay of ZO _ this 96TH day of SEPT 24 by
JOHN VN -L'i JOHN V LANGEL ,"""7
(Name erson cknowledgi g} (Name of per ackn edgin
(Sig ture ublic- a rurRcirlda I (Signature o F1
ary Pu ' -State of
rY`{LANC'�4
Personally I r�• :•• ttYceo`7Lre�5'Ej Personally Known X `+"•••°•. _
Type of Identifi tiv r�diiCslcl COMMISSION � � Type of ldentificat oe.P ucad My GaMM o1a
exiPIAES Augur ;ti�'�t j vp"155
n ryfCe.eom
y7 o.n,,. @ ;re.eom sr IcrldaN
Commission No y; ejoridallo. Commission No. F
Revised 07/15/2014
RFVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS