HomeMy WebLinkAboutBuilding Permit Application 09/29/2015 07:07 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE:INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �•� l• ��. Permit Number: L50- 04 1
RECEIVED
imam
Building Permit Application SEP 2 9 2015
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)467-1553 Fax: (772)462-157$ Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Addees$: 4949 N AIA#173
Legal Description:
Property Tax ID#: 1414-602-0064-000-a Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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�ttonalwomtopeperformed under this permit—c ec all appy:
OHVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric L1 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 5Ft, of First Floor:
Cost of Construction:$ 5487.00 Utilities:]Sewer E]Septic Building Height:
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Name KATHRYN HALDANE Name: JOHN V LANGEL
Address:4288 JACKSON BLVD Company: SEA COAST A/C
City: WHITE LAKE MI 48383 State: Address: 2601 INDUSTRIAL AVE 3
Zip Code:____.. Fax: City: FT PIERCE State:FL
Phone No.248-877-9536 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: CA0016446
If value of construction Is$2500 or more,2 RECORDED Notice of Commencement is required.
09/29/2015 87:07 7724662417 SEACOAST SHEET METAL PAGE 03
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY; Not Applica b leName: Name,
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable 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,hucie Counit�makes no representation that is granting a permit will authorize the permit'01er to build the subject structure
w chIs in con ict with any applicable Home Owners Association rufe�,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
improvernentsto our property. A Notice of Commencement must be regorded and posted on the jobsite
before the first 1 pection."f you intend to obtain financing,consult w lenderorena orneybefore
commencing-wyk�ilor recot iog vour Notice of Commencement, I I . 'Pt
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STATE OF#LOKIUA STATE 04LORIDA
COUNTY OFSTI-Mig COUNTY OF ST LUCIE
Thef ng instrumen owledged t1f The forgoing instrument was acknowledged before me
tITAIlay of!t*!! 20 _b�e Me this " day of 20 _by
Publi��te of Florida) (Signature ofAotary�Public-_111 of Florida)
Personally Known X OR Produced Identification Personally Known_09 Produced Identification
Type of Identification Produced Type of identification Produced
my comm
TFF1 480 79
August.30.2018
Revise 10-10
V4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 5F.A TURTLE MANGROVE
COUNTER - REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
,J INITIAL$