HomeMy WebLinkAboutBuilding Permit Application 11/09/2015 14:16 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 RECE1k,'_D NOV 0 9-1015 . Permit Number:
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Building Permit Application
Planning and DevelopmentServlces
Building and Code Regulation Division
2300 Vlrglnla 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: 7402 SANTA BARBARA DRIVE
Legal Description:
Property Tax ID#: 1301-601-0059-000-0 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 2.5 TON 16 SEER 10KW
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Mona wor to e e orme unciertnis perm —c ec all appy:
ZHVAC _Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing []Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: _ Sq, Ft'of First Floor:
Cost of Construction:$ 4500,00 Utilities:USewer OSeptic Building Height:
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Name DAVID!CHARELENE JAMES Name: JOHN V LANGEL
Address:7402 SANTA BARBARA DR Company: SEACOAST A/C
City, FT PIERCE State.• Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City: FT PIERCE State:FL
Phone No,370.6468 zip Code. 34946 Fax: 466-3053
E-Mail: _ _ Phone No. 466-2400
Fill in fee simple Title Halder 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 Commencement Is required.
11/09/2015 14:16 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:- __--
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Counttyy 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 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 result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectio . If you intend to btain financing,consult with lenyr or an att rney bef re
commencing work or regil5rding your ti f Commencement.
Signature of Owner/ see/Agent Signature of Contr orA-jcense Ho er
STATE OF FLORI STATE OF F IDA
COUNTY OFSTLu COUNTY STLUCIE
The fir in instr a as acknowled ed a me The forgoing instrument was acknowledg ore me
g g I
this day of 2Q yr this 6 day of "o" 20 by
JOHN V LA JOHN V LANGEL
(Name per on acknowledgi (Name of pe ac owl ging)
(Signature o ; Public- tateodudr
ida) (Signature of No ublic- e
Personal[ no n x OR Pr Identification Person Known x R Pr used dentification
Type of entifi tion Produced Type F Identification Produce
Commis No. (Seal) Commission No. (Seal)
Y LANGEL fp��" U '' TRACY KAY LANGEL
'$ MY COMMISSION#F5148072 MY COMMISSION#FF148072
Revised 07/15/ 0' a'� EXPIRES August 30,2018 ' �X Q s EXPIRES August 30,2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS