HomeMy WebLinkAboutBuilding Permit Application 10/20/2015 14:16 ' 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: O b b 5 Permit Number: P 5�4 '0334
RECEIVED OCT 2 0 2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone: (777_)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical z
b,t?C7irD..ll [iC3U,. +I. : .,..,.L�.
Address: 117 ocean bay dr
Legal Description: --
Property Tax ID it: 3,22-608-0011-000-8 Lot No.
Site Plan Name: [dock No.
Project Name:
Setbacks Front--.— Back: Right Side:_._. . Left Side:
..
.�r.�•,.��„�� �r .. ..���..�,i I.r:...:�I:,:I,a r...�.. ��,,...:...r;...:......,• ..,,.�...,.�,.i�. .�::;�'��.
,�:•.: .., .._�.�cl�'..,: _I,�..,.........L:..�. ....• ._,......,, •,.1wa;u.i:,,. __ _ ..II:,•: ..,,,, •::'-aw�w,:�.�:,
like for like change out 5 ton 14.0 seer 10 kw heat pump
. f!I'AT�+
[ON,
Add
itiona worktoCe a orme tindert isp i't`=c+•ec<a appy:
❑✓_HVAC Gas Tank El Piping _Shutters ❑Windows/Doors
❑l;lectric Plumbing 05prinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: ;; 5911.00 Utilities: 0Sewer❑Septic Building Height:
C�'55: :.,,,,.,, ,
��;•. •ol :��. .....lu�pq i.�..n�.•4::{ �......•„j '.j.:'i �IIJ
"�r
:. �.. '.:
Name ROBERT STOODARD Name: JOHN V LANGEL
Address: 117 001�AN FLAY DRIVE Company: SEA COAST A/C
City: J�NSEN State: _ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 349:17 _ Fax: City: FT PIERCE State:FI-
Phone No,341-3895 Zip Code. 34946 Fax. 466-3053_
E-Mail:---- ---
Phone No. 466-2400
Fill in fee simple Title Holder an next page{ if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CA0016446
If value of con!:truction is$7..500 or more,a RECORDED Notice of Comrllenrempm Is required. +
10/20/2015 14:16 7724662417 SEACOAST SHEET METAL PAGE 03
7.
. ,.•.. ,. I I An.
StJ.:PIf!, NTIi` :hJ' 'h it tJ'•.• � ;: flhllll �JVIN
G. .. :. ai1�llrw,�+ll.,,
DESIGNERIENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:_ Name:
Address: Address:
City:—""— State, City: state;
Zip: Phone: Zip: Phone: W__.:_
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:,,,r 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 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 ofthis requested permit, I do hereby agree that I will,in all respecL•s,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 0 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvem is to your property. A Notice of Commencement must be r corded and posted on the jobsite
before th irst inspection. If you intend to obtain financing, consult wi lender r a attorney before
commen work or ecor our Notice of Commencement_
Si ure of Owr_A
t Signature or ontractor/ ' se Holder
ST E OF FLOSTATE COUNTY OF COUNT FLORIDAOFsru)ICE
The forgoing in,[rument was a e g before me The forgoing instrument was acknowl ore
this••_day or _ 20 I,y 1this70 day of 00T 20 by
J V I.ANGFIl JOHN V LANGF
e of p .rson acki lcdgin$) (Name er n a kno ging)
i nat'u o ic- tate of I'lorida) (Si ure Nota 1' -
Perso nown x Produced Identification Personall Known X R Prod ced identification
Type of Identification Produced Type of Id ficotio rodu -d
Commission No. f, w, e Commission No, (Seal)
My COMMIS I N #FK146072
FX2018pIRES August 30,
71398•oe53 Flo�ideNetRrySArvire.com
TPIAE;y KAY
ML
C'VlSLd 07/15 My COMMISSION#'FF14867P
rzXPIRES Au ust 80.pm A
(a09I 3B8•p 5� " 1
FlOrldallotsry5 2rVICO.Corn
REVIEWS FRONT ZONING SUPERVISOR PLANS VE E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ,..
COMPLETE
INITIALS —