HomeMy WebLinkAboutBuilding Permit Application 09/23/2015 14:29 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
79. 0 (p
Date: Permit Number:
RECEIVELD
Building permit Application
Planning and Development Services SEP 2 3 .2015
Building.and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
u' nlI ri :•.I' 'I:'r:i:: nlr L. ,;.i:.,li ,II!r'1 iey;rr:'I: i„.,„,ii,q.riu l,y
i.. ,i. ••;, :dn�il.tt sil;,�f`. �;.i: ;.I'r. I .t.!• ,.F;; ,l. '•A. ,, :!I,.h(.�'I��,.,,.,r,.,,�,1..
.i. �o' 'r� i�� I'LIII,��I,'L�„1"IJ,,,,III,iI„ .qll:41.r.i�I,onii.I::;.I,.al.'I i II. `:�`,i�f C� f11 ��,t-,� �I{r'':,:,:i•:,�:.,,�„L..r
II , 1,1.. I; „I,,J ,.1„h. 1.,,1.,, ..l r i.r.i „i�Ilhil 1 I,..Y,i I Ii ILII1�'�ll+`.ii",���• ,.t .'I •on,�;...
'�,!' �' •��� �� 1, �T�:;� I '��J��Y, �IIN`!' ..1,.,�,;,.:,11.,,,JI�,!t,.I,: ...,i„'rll'i'�,ll��:.; ...r.,. .�:�,I.:-,•i....,...,,,Ilr:,l,;.�!!';::,,.,.,.
t�:� '� WUBuur I�' 3.,' .i. ;(illi i irimnn,•,!„L�,I,.�'., :I!!,!H1n:a ...I11!11'.:4ll,ne::'nJ IrP��(r, .�:,.II�.o-.,W....,
,.. i � „ �� .a I ,,,r,......1,L.. f• :...•rJ..,'p•i�,,.n,np"'..."i :1{� iu l„..In. t
Address: 3100 N Al 91005
Legal Description:
Property Tax ID#: 1425-606-0045-000-5 Lot No.
Site Plan Name: Block No.
Project Name: _
Setbacks Front Back: Right Side: Left Side:
i.•v li'I mu..'i, Yi' 'I''' ii.l•', i
ti:"•'ti'1 f.''•......... ......,,......,. .l fni •i i,Ai:f i. liu
I !i:lill":lii l'1:��!li:' '''ll'., ..Ir, ".'I'!: i!1'r. ':L"li''.J �Il,r �::l1'i:�al.1.•i.l:a.11„i
�::Is,-I„• !..I.f ilil:ili ill �!, !iill�''1{I%
I ;b „ :I I ,.,ul, 11":.1.1;,;i;i'ilr„n!ri, a.n,,•I,I; ::i I I r'. Ir:!p:::.I hIr•u,,'.;:'„.,,'.
I� �I .,Ir �.I, :LI i.r•t .:.I,.' ,.;,.' �l 1, I, tt..I i'��'��!Gi�I Sail �:i.
�.„��•:.,I�•�,��,,...,,.: .•�•,. r! I.:• : '• •,'. „r'.":,r,.,.:� ,,'r':� '••1:'• �I ..r!, I . .1: .I �n�!t.•I': ��ii1,•.,,„,�;;`:;,:.;:":,�;�:!
���.rl�I,r:."f d,...,.,.a,� ,,,,,,.,.I,�.,: :.,,.':i.',•... °G.." i'I r,rl9..,11� ,,,I{,,�!,�!�,. ",lr1'11±±,d =n1J1(
LIKE FOR DIKE WATER SOURCE HEAT PUMP
,........:, l u r'G,•• c%;.•nl, .,��,. . :.6,.;'-rd: m:�;,;•n,••}�:•,�nr""!7I"!I;�',:. .I�..R II ri"r!'x 1'' I r ,,;i:i�'t iH !{,i l x;'!'94;{.,;1..
tl... "Will � li II,I
Mn
1 I. I� u....%.:; i::ji!:,.:.r"::.i+:II;., I.ib{:II":• ti.".:h:'La i,.^.I 1;.,I I. IJi,,1,,'a,: R'C:i::
,. I !l. .!. ;.:1:;. ,11:; . ,r,!I�qil l,(r, .:.I•.:.I. I l'.,,,,, ,? 4±Ir J1.. I ,,�,.,,,.,,,..,.....
Additionalwor to bei rme under this perm! —cneCK all appy:
HVAC Gas Tank ❑Gas Piping _Shutters O Windows/Doors
❑Electric 0 Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor,
Cost of Construction:$ 4737.00 Utilities:El Sewer Eheptic Building Height:
r'�4=''"•r Ili;, n'i,,:,;�1•�i 'r'P I"t'il'l!:;;„L,• •.ill;. (i.Gi'llig; � t��,{�ryyy,,y ':.L'!1' "1":I
.,, ,. � t IPi li.: {:,i•;;, ,...... - „�;;liu I I i
1 },.,•y,l l+p..•.;,• l , y,,�{[����'1�P���,"yP I f•:
I 'i:9 ':1li;,..I•• .::'r::u :,I;:il lil''•i 1" .,i,^ "'”I:`!.,'! Pal �I( myt I I ( ! i:•n :n'.
;:' , "116, 18p, t t; F.,I.II ;,,,,.I., L.{WWIIIA"1`.Pnl. 'I !
xll ' / TM
{1,,.1 Il iii::Ln.m„i ....I.
Name MARTHA HAHN Name: JOHN V LANGE!,
Address:3100 N A1A#1005 Company: SEACOAST A/C
City: FORT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: $4949 Fax: City: FORT PIERCE State:FL
Phone No.772-462-1974 Zip Code: 34946 Fax: 7724663053
E-Mail: Phone No. 7724662400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAii,@AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction 13$x500 ar more,01 RCCORPED Notice of Commcnccment 15 required.
09/23/2015 14:29 7724662417 SEACOAST SHEET METAL PAGE 03
i' eY I •:•; „ : � 1rw�.. raa,�.... r..., ,, .., r i!i y"y { ,n y i!:;',ri , r r mn.•ir.si.,,•;
I;��lll?F�����4� �,�N �111' 'r�� "�i�,��"',ri`�i 1`� ��!I�'I�t"�,+i�t (� �.�f��,.. rI���RI{�t�l li II�`r�lCh, �r,iir:c�:I�II �; 'i II;I I ir►r ii;
I
,p,;,n,.y.;r �run.S,, 11: 4trl; •!r f Clay:,•!raa,i•.e. ,.I �,* ...L•, -dr n,r. ;,,...;,r i r r. C,e,.n,.,plle,lh I .—r r ;i:a.. i rna rl r u, •:r ;
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 13ON13ING 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 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: our failure to Record a Notice of Commencement may,result in your paying twice for
improvements to you roperty.A otice of Commencement must be rec ded Ja posted on the jobsite
before the first insp I tf you et btain financing,consult wit endern a orney before
commencingwor r ecordi ur of of Commencement.
5
_Signature a caner/Lessee/Age n SignstZOF
Contractor/Li nse Holder
STATE O LORIDA STATFLORIDA
COUNTY OF 5r wm CO U NTY Q R ST LucIE
The f r oing instrumipt acknowledged fore me the forgoing instrument was acknowledged before me
this day of��", 20 _by this 29 day Of 5EPTEMSER 20 I l by
JOHN LAN JOHN V P-L
(Na rson acknowled ' g) (Nam o rson ack wledgin
^
( ' r Not lic-S e o orida) (Sig re ary P I tate Of F Ida)
Personally K w X OR rod d Id i M _ ers n �IC� RP Identification
Type of Id tiff tion Pr -�r^Y"�°"'Y T fta f duced
YP Cif ' ` S . 'Z M COMMI SI�� a
w -rSA "`
lllbl, N*FFaOA� ;d;� s E cd �xlT��l®H (Seal)
Cam i f} ti
p16tId8No4�ry$eNICe•
�s•.. P1A�5 Aug (b07139e•0753
FlorldaNM%
Revi
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS