HomeMy WebLinkAboutBuilding Permit Application 10/29/2015 14:53 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:101 d 5 Permit Number:
RECEib'LD OCT 2015
Building Permit Application
Pldnning 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: 14487 CANCUN
Legal Description:
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name_ Block No.
Project Name-
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE CHANGE OUT 4 TON 14 SEER 10 KW PACKAGE UNIT
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�rtrona work o e e orme un ert is permit—c ec a appy;
AddLr JHVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: 5 . Ft_of First Floor:
Cost of Construction:$ 3593.00 Utilities: Sewer Septic Building Height:
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Name wYNNE/KELLY Name: JOHN V LANGEL
Address:12804 S1N 122ND AVE Company: SEA COAST A1C
City: ET PIERCE State: Address: 2601 INDUSTRIAI-AVE 3
Zip Code: 34946 Fax: Ci FT PIERCE
City, State:FI-
Phone No,519-3406 Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 4662400
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 Commebcement is required.
10/29/2015 14:53 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'1 City
Zip: Phone: Zip: Phone:
i certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in convict 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 foliowing 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-residentlal use
WARNING T 1 O ER:Your failure to Record a Notice of Commencement y result in your paying twice for
improuements our grape A Notice of Commencement must be r riled and posted on the jobsite
before the firs ' spection. If ' tend to obtain financing,consult wi ender or n attorney before
commencin or reco otice of Commencement.
s
Signa, of Owner/Lesse Agent Signature ontractorJt.ic se of er
STAT F FLORIDA STATE FLORIDA
COU OF STLUCI(! COUNTY OF ST LUcir
Th ping instr m owl fore me The forgoing instrument was acknowledg efore me
t s day 20 �b this 29 day of OOT
J N NGeL- JOHN LANOe
( e of perso ckno dging} (Name of so acknowledging}
ignatur N u •OF a} (Signature rOR
f F r!da
Pers ally Kno x Produced identification Personally Known xuced icationTyo€Identifi tion Pro ced Type of Identifica ' n P
Co n N TRACY p �gNGEL. Commission No, (Seal)
J"h"'""'.,.
1• My COMMiSSION#aFF148a72 .:�^"`
,•. �,p. TRAC
°(„,,,•"' ! ;'6 MY COMMISSiON#FF146t?72
Revised 07/ otrr3 rwrt�Nola servlcelaam ;�,�,_,.' �
? n EXPIRES August 3p,2018
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ts 3ga i
REVIEWS FRONT ZONING SUPERViSOR PLANS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS