HomeMy WebLinkAboutBuilding Permit Application 10/21/2015 08:06 7724662417 SEACOAST SHEET METAL.. PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:II0 WIN �—
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: 1732 PONDBERRY LANE
Legal Description:
Properly Tax ID#: 3426-703-0161000-1 Lot No.
Site Plan Name: Chock No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 3 TON 16 SEER 10KW
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Addition war to' e e Orme un er t s permit�`cTi"ec'�c a app y:
HVAC Gas Tank L]Gas Piping �_Shutters Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Ll Roof
Total 5q.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4854,00 Utilities:L1 Sewer Ll Septic Building Height:_
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Name DOMINICK SUCCOLA Name: JOHN V LANGEL
Address:1732 PONDBERRY LANE Company: SEACOAST A/C
City: PT ST LUCIE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34952 - Fax- City, FT PIERCE State:FL
Phone No.772-879-4847 Zip Code: 34946 _ Fax: 466-3053
E-Mail: Phone No. 4$6-7.400
Fill In fee simple Title Holder on next page(if different E; Mail: TLSEA00AS7AIR@A0L,00M
from-the Owner listed above) State or County License: CAC016446
If value of construction Is 62500 or more,a RECORDED Notice of Commencement Is required.
10/21/2015 08:06 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: —Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address.•
City: City:
Z.ip, 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 ton#iict 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-residential use
WARNING TO OWNER;Your failure to Record a Notice of Commencement may resulVndosted
ur paying twice for
improvements to your prop rty, A Notice of Commencement must be r orded aon the jobsite
before the first i spection. f yo intend to obtain financing,Consult Wi lender otto ey before
commencing work or r c n our Notice of Commencement.
s
Signature Owner/Les a/Agent Signature Contractor/Lie nse IdiF
STATE FLORIDA STAT7F FLORIDA
COUNTY OF 9T Luca COUNTY OF s,-Luclr
The ng instru e a acknowledg d efore me The forgoing instrument was acknowled are me
thi�ay of 20 this ''day of t�GT 20 �y
JOHN V i_ANGEL
e of Pers cknowledgi j (Nam f rson ackno edgin
_V_
Ic• tate of Florida j (Signature ary Pu lie-Sta rids j
Pers Ily Known x OR Produced identification_ Personall Kno x OR roduced Identification—
Type
dentification—Type of identification Produced Type of Identification Produced
Commission No, Com ssio•^ 6,
1t KAY I„p�NG�L / ' ,” TfiACY KAY GEL
fx?r �Y'C�jMfnVSSTL—
EXPIRES August 3o,209 a
Revised } % IRlrS Aug (4o;lagso�6ace,cam�3 Ulm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS