HomeMy WebLinkAboutBuilding Permit 10/27/2015 09:10 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED }�
Date:-. _ Permit Number: cJ '
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,For[Pierce FL 34.992
Phone:(772)462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address' 9405 S OCEAN DR 2C
Legal Description:
Property Tax 14#: 3535-334-0003-070-0 Lot N0.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 3 TON 14.0 SEER 8KW PACKAGE UNIT
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,trona wor o e e orme un er }s permit—"""
a appy:
HVAC �--- GasTank Gas Pipin _Shutters Windows/Doors
[]Electric LSI Plumbing ❑Sprinklers Generator Roof
Total Sq_Ft of Construction: _ S , Ft, of First Floor:
Cost of Construction:$ 4340,00 Utilities:Ll Sewer E Septic Building Height:
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Name DAVID KOWNACK Name: JOHN V LANGEL
Address:72 PASHLE=Y ROAD Company: SEA COAST A/C
City_ GLENVILLE NY 12302 State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: Fax:_ _ _ City: FT PIERCE _State:FL
Phone No.-518-399,9779 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 S2500 or more,a RECORDED Notice of Commencement is required.
10/27/2015 09:10 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 County makes no representation that is granting a permit will authorize thepermit 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 nonresidential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may r suit in your paying twice for
improvements your property,A Notice of Commencement must be recor ed and posted on the jobsite
before the firs inspection. If ou intend to obtain financing, consult with I der or an ttorne before
commencing,RvQFrk or recorgringvow Notice of Commencement.
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_Signat of Owner/Lesse Agent Signature of C actor/License older
STAT F FLORIDA STATE OF RIDA
GO YOFSTLUCIF COUNTY 5TLUCIE
Th rg 'ng instr me s acknowled efore me The I g instr t a cknowledgTIM
ore me
thi day 2 _ by Chis ay of 20 y
L5�HN V LANGEL� JOHN V LANGEL
(N a m pe n acknowledging) (Name of n acknowledgi
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d/
a ( Ig I -Sta e o orid' )
erso E ' " OR Produced identification lye ORP u Identification
yp f I c uced of 1 n oduct:d _
Commiso. '9C� (Seal) Comml ��s�r (Seal)
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