HomeMy WebLinkAboutBuilding Permit Application 10/12/2015 16:41 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST FIE COMPLETED FOR APPLICATION TO BE ACCEPTED �/r✓
Date: �' �J Permit Number:
RECEIVED
"TA F
Building Permit Application OCT 13 2015
Planning and Development Services
Building and Code Regulation Divislan
2300 Virginia Avenue,Fort Pierce rL 34982 Residential X
Phone,(772)462-1553 Fax:(772)462-1578 COtCI1112fCIBI �
PERMIT APPLICATION FOR: Mechanical 1r
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Address: 6 GUAVA LN
Legal Description:
Property Tax ID#' 3414-501-1701-000-9 Lot No.
Block No,
Site Plan Name:
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Project Name:
Setbacks FrontBack: Right Side: Left Side:
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LIKE FOR LIKE 4 TON 14 SEER 10KW PKG UNIT SYSTEM
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i i1 lona wor to e e 'arme un er t Is permit^C ec a appy:
IJ HVAC Gas Wank ❑Ga5 Piping _Shutters ❑Windows/Doors
Electric Q Plumbing SprinklersGenerator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 5683.00 Utilitles ,Sewer Septic Building Height:
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Name
WYNNir BUILDING CORP/LEBLANC Name: JOHN V LANGEL
Address:
12804 SW 122N17 AVE Company: SEACOAST A/C
City: MIAMI State: Address: 2601 INDUSTRIAL AVE 3
Zip Code:
33166 Fax: city: IF ORT PIERCE State:FL
_
Phone No.2Q7-712-5200 Zip Code: 34946 Fax: 7724683053
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 Cvmmeneement is required.
10/12/2015 16:41 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 TITLEHOLDER: _Nat Applicable BONDING COMPANY: „VNot 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 au applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult w"lth 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 WNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvemen to your prope y. A Notice of Commencement:must be recordo and posted n the jobsite
before the t inspection. intend to obtain financing, consult with len r ora atto ey be re
commen ' orl or ec i o Notice of Commencement.
s
_dig tura Of Owner)Les /Agent Signature 90FnL.
ractor/Livens Iden
ST E OF FLORIDA STATERIDA
C NTY OF STLUOIF COUN uaE
The torgolinp. rument w e ge re me The forgoing instrument was acknowledged before me
thisv Of �'C- _ 20 hY this 12 day of OCTO:�ER�r,�.---• 2C by
! H L4 dOtIN VE
{ a of person aek )edging) (Na of ptrso acknowI ging)
Signa ur tary public Sta of F ' (Signa - ri
NGF�L'
Perso I(y K ��! A' iut; t
Pers all Kp n' `PrlScF�+ e ot n
Type o en't i 0 P. .>.oc�dMMtS 201 ss Type of I ''�� i i ci' ��d 1Sa1Oi�#P
,�' o�••sAf vir, S a �� ca.corn \%r...�ry ' SXF'IR!✓5 Auq
Commission N Al �t6uNot Commissi n '�',nLotaNseN(c
A01) .
Revised 07/15/2014
REVIEWS FRONT ZONING 5UPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REViEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS