HomeMy WebLinkAboutBuilding Permit Application 11/11/2015 13:08 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l 1
Date: Permit Number. I5� I ' 0I L_
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fore Pierce FL 34982
Phone:(772)462-1553 Fax:(772)'462-1578 Commercial Residential x
PERMIT APPLICATION FOR; Mechanical
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Address: 4701 SUNSET BLVD
Legal Description:
Property Tax ID#: 3402-608-0094-000-4 Lot No,
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Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:_ Left Side:
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LIKE FOR LIKE 3 TON 8 KW 16 SEER A/C SYSTEM
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itlona wor to orme un er t is permit—c eC arqhuttPr-q
appy:
QHVAC Gas Tank ❑Gas Piping Windows/Doors
11 Electric ❑ Plumbing ❑Sprinklers []Generator g Roof
Total Sq. Ft of Construction: 5Ft. of f=irst Floor:
Cost of Construction:$,4915.00 Utilitles:n Sewer Eleptic Building Height:
1, ;�!!!+!$,�,lii'i:' ;.,.1'r}'4•;il'I i'�mtii'.••1'II I.I;If;(t!''Ill`lii'I1!,ar�is;i1fl;':I$NameROBERT
OBERTu SPEIe�"I R`it �S!I',y al,o.lI! II�II:�":'?''4.r Ii.lrl�I;!rI,�i 1 I PI$y:J1;,ak;.;r'lelniIi��;I?Ey!1'i 1{1 I I l l illi,„JInP•l,.�•i:lh,T II�I7Nam�e.
I�; JOHN V LANGEL
ComAddress:4701 SUNSET BLVD any:
Com
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SEACOAST A/C
City: FORT PIERCE State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.332-7676 Zip Code: 34946 Fax: 7724663053
E-Mail: Phone No. 7724662400
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: CACOI$446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/11/2015 13:08 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 the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rubs,bylaws or and covenants that may restrict or proh 5t 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 t your prop, .A Notice of Commencement must byer, corded and sted o the jobsite
before the first n eckion, l yo i nd to obtain financing,consult render or a a or ey before
commencing o ar reco in Notice of Commencement.
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signat f t�wnerl Le ,,Agent Signatu CA-4
ontractorjLic a Hal r
STA F FLORID ST F FLORIDA
CO 0 'a 'UC C YO
FBTLUOiL°
The f�jgoing Instrument was acknowledge4l before me The forgoing instrument was acknowledged before me
this May of e i e ZO t?Ily' this 11YH day o, N6'�EM6s`+Rte_ a0
JQW LA �Ll JOHN V N'z
(Nainof person ackn edging) (Na a of erso acknow dging)
(Signa o to r of Florid (Signature of Notub -Stat orida)
Personally oI AW46__ Personally ion
Type of Iden : if'dt' k''.�i M Qtj j48a7a Type of!dent Fd MY C� X607
ptR�S Aug st 30.2018 n ) Qi
Commission ?., rt E.Xi'IF2ES Aug 201$
Commission �''�of~- ac�daNnta� nam �5.,.+,+�;.,.. t
t,�7 gg8dll'� l407l Asa nl s+ Fkrtid9Nota svlca.>:Cm
Revised 07/15/201.4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATiON SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS