HomeMy WebLinkAboutBuilding Permit Application 09/29/2015 07:31 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date_ Permit Number.
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: 8310 ANDREWS AVE
Legal Description:
Property Tax ID#: 2323-601-0003-000-4 Lot No.
Site Plan Name: Block No.
Project Name: .,.
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 4 TON 16.0 SEER 10 KW
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AQCIIXICnal worK toe performed un er t is permit—•ct ec a appy:
❑✓_IAVAC F_GasTank Gas Piping _Shutters J`�JWindows Doors
Electric LlPlumbingSprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt,of First Floor:
Cost of Construction:$ Utilitles: Sewer Septic Building Height_
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Name DALE BASS Name: JOHN V LANGEL
Address:8310 ANDREWS AVE Company: SEA COAST A/C -
City: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34945 Fax: City_ FT PIERCE state;FL
Phone No.772-466-2400 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: CAC016446
If value of construction Is$?500 or more,a RECORDED Notice of Commencement Is required.
09/29/2015 07:31 7724662417 SEACOAST SHEET METAL PAGE 03
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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 TITLE HOLDER: _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.Lucie Count 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-resfdential 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 recd ded and posted on the jobsite
before the first'nspection, f you intend to obtain financing,consult with I nder or an attorney before
commencin k or rreccidin our Notice of Commencement.
Y ` VA/w
s
_SignatIFFLO
f owner/[es a/Agent Signature of C70RIDA actor/Licens Molder
STATERIDASTATE~OF F
COUNTY OFSTLucla COUNTY OFVLUCIE
ThX- 9
ng fnstrume knowledge ore me The forgoing instrument was acknowledged before me
day of 20 y this2eday of sEPr
Zp by
JOH LANG[r JOHN VLANGEL
(NAM 0 person,' nowledgin ) (Name o n acknowl g)
07-
(Signatuo Notary lic•State of Florida) (Signature o u IlcMrodfuced
Persona own x OR Produced Identification Personally Known X Identification
Type of Identificati _ Type of Identification Produced
•;a` ,�,
TRACY Y 9.ANG1EL vN•�~",
Commission No. �S Com r3roj ' s�_dFi1�gCY �9ir q�+j�yGe I)
i y COM499 N#FF14W72 j.
EXPIRES August 30,2018 `.��` Tt My COMMISSION#FF1413072
(407)3.U.01&,l FloridallotsrySarvicr.,com (497)ag[(-0153
Revised(I7/I.5/2014 Florltlallota Servlce.com
REVIFWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS