HomeMy WebLinkAboutBuilding Permit Application 10/05/2015 16:07 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ii a CJ(�
Date: Permit Number: I1® M�
Building Permit Application
Planning and Development Services
f3ullding and Code Regulation Divlslon
2300 Virginia Avenue,raft Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 7511 COMMERCIAL CIR
Legal Description_
Property Tax ID#: 1335-803-0001000-4 Lot No.
Site Plan Name: Block No.
Project Name: _
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE 5 TON 14 SEER 10 KW A/C CHANGEOUT
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itiona wor to e e orme unclertnis perms —c ec all appy:
ZHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
OElectric ❑ Plumbing OSprinklers O Generator Roof
Total Sq.Ft of Construction: 5 Ft'of First Floor:
Cost of Construction:$ 5487.00 Utilities:12 Sewer 0Septic Building Height:
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Name AAA COOPER TRANSPORTATION Name: JOHN 11 LANGEL
Address:PO BOX 6827 Company: SEACOASTAIC
City; DOTHAN State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 36302 Fax: City: FORT PIERCE State:FL
Phone No,800.633-7571 Zlp Code: 34946 Fax: 7724663053
E-Mail: Phone No. 7724662400
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.
10/05/2015 16:07 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:
Ad d cess: Address:
City: City:
Zip-, Phone: Zip: Phone:
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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,
accessorystructures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO WNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improveme to your property.A Notice of Commencement must be recor d and posted on the jobsite
before the st inspection. If you intend to obtain financing,consult with le er or anatt rney before
commenci work or re ordin ur Notice of Commencement.
s
_Sign re of Owner/ ee/Agent Signature of Co ctor/License H e
5T E OF FLORI STATE OF ORIDA
C NTY O FST Lut�' COUNTY F er Lucte
The foIng instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this.a j day of OC ._. 20 411ythis �Sr day of OCT09eR 20 �by
JD^V LANGE11 JOHN V LANGCL
( am ofipeerson acknow dging (Name of acknowle ing
am
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ture of Nota ublic-State of Floignature o -state da
Kno ,''•�A OTftdMYe � Personall I��qt�°° 7Fii-aR`��e{}tt�ecf'ltleil�i�' on
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Type of Identif' inn koducmr�l Cbnnrnl aTW�.EType of I antif' ti ati PIt7�a'dT,m6�fv11SSION F51.1 7*;'
`'•',F�o;`�o?�f' EXPIRES August 30. 2018 �^•r" oa' EXPIRES Auqust 30,2015
Commission No az)n9ii.nuin I1 commissi n "`'' _ ry
( 1 rlbr tapMnl:� .,1�;ca.corn �ao1 .., Cor ria\loti� Same
Revised 07/.15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS