HomeMy WebLinkAboutBuilding Permit Application 09/29/2015 09:11 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICAB INFO MUST BE COMPLETED FOR APPLICATION TO SE ACCEPTED
Date: Permit Number-
Building
Buildiing Permlit Application
Planning and Development Services
Sullding and Code Regulation D/vi ion
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: 5512 PALED PINES CIRCLE
Legal Description:
PropertyTax ID#: 1312-500-0043-000-9 - ^- Lot No.
Site Pian Name: Block No,
Project Name:
Setbacks Front Back., Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 3 TON 14.0 SEER 10 KW
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AGamonal worK to rtormed unclerthis permit ec a appy:
OHVAC Gas Tank El
Gas Piping _Shutters E,Windows/Doors
�Electric ❑Plumbing ❑Sprinklers Generator Roof
Total Sq.Ft of Construction- S Ft.of First Floor:
Cost of Construction:$ 4292.00 Utilities:0Sewer 0Septic Building Height:
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Name JOHN PAXTON Name: JOHN V LANGEL _
Address:5512 PALEO PINES CIRCLE Company: SEA COAST A/C
City: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City: FT PIERCE state:FL
Phone No,772-466-0728 34946 4
-- dip Code: Fax: 66-3053
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$2500 or more,a RECORDED Notice of Commencement is required.
09/29/2015 09:11 7724662417 SEACOAST SHEET METAL PAGE 03
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Na me:
Address; Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FIE E SI M P LE TITLE HO LDE R: Not Applicable BONDING COMPANY. Not Applicable
Name: Narne
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 @permit will authorize the ermit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules,by[aws or a ng 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,
�ccessory 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 ond posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with len or an attorney b f re
commencing V&ork or reco)ldlng your Notice of Commencement. A .47
A./V
STATY-611'FLORIDA STATE OFF RI DA 7
COUNTY OF COUNTY
The ng instrum5gq�kqowledg 'r-2 M o The forgoing Instrument was acknowlecIg -'me
thisIbRay of +fe?fol this day of "FPT 2 Oi�170_re
-ORIDA -'/FR I DJ
J0Hy_,e_,LG_�L _
Lon"a��wleclging,y' Kam:e pe son ackno ging)
y Pu [ic-State of Florida)
Perso 11 ow I OR Produced identification
ne OJ Personally Known x OR Produced identification
Type of I entfificationProduced Type of Identification Produced
Commission No. (seal) Commission NO.
Revised 07/15/20
Z Z04
REVIEW RE
COUN 10i. FA�_ 4 REVIEW
DATE fat
COMPLETE