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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLUED FOR APPLICATION TO BE ACCEPTED
Date: .', ;� - ._-_-- Permit Number: I V© JV
Building Permit Application DEC 0 3 2015
Planning and Development Services PERAflITTING
Building and Code Regulation Division St. Lucie County,FL
2300 Virginia Avenue,Fort Pierce FL 34982 i
Phone:(772)462-1553 Fax: (772)462-178 Commercial X Residential
I
PERMIT APPLICATION FOR: Mechanical
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Address: 5300 SUN CITRUS BLVD
Legal Description:
Property Tax ID#: 1430-311-0006-000-1 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 3 TON $KW 14.0 SEER
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Additional work o bnerformecl uncier t Ils perms —cneCk all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
0 Electric Plumbing ❑Sprinklers 11 Generator O Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 7470.00 Utilities'. Sewer Septic Building Height;
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Name MASSA FAMILY HOLDING Name: JOHN V LANGEL
Address:222 SW 21 ST T_ERR Company: SEACOAST A/C
City: FT LAUDERDALE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 33312 Fax: City: FT PIERCE State:FL
Phone No.489-7900 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 constructlon is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name- Name,
Address: Address:
City! State: City,.
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.LuCleouconflict Imakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in l ct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibitsuch
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 OW may result in your paying twice for
ER:Your failure to Record a Notice of Commencement
improvements our prop A Notice of Commencement must be recor ed and posted on the jobsite
o' 0 with
?
before the first' spection. If ou intend to obtain financing,consult witl der or an/tt r before
commencip ,ZZ r ourNotice of Commencement.
g w rl�or recor
S
SiSnatur Owner/Le sent Signature of tractor/Uc older
STATE FLORIDA 5;f STATE 0 LORIDA e7
IFF X0
COUN OF MUCIE COUNTY OF sT Lucir;
The f ling i 7w s ackgQw. a afore me The forgoing instrument was acknowledefore me
e"ge
I )f
this y of 20 by this_13 day of NOV (A by
H H v r
V LANQEL-,/ JOHN V LANrFL
Na eofpe o cknowledging (Name of P 10 acknowl gins)
(Signatof Notary Pub
State of Florida) (Signature of N Public-Statof Flori a
0
Perso a Known X OR Produced Identification Personally Knov OR Produced Identification
1
Type of identification Produced Type of Identification Produced
Commission No. (Sea]) Commission No. (seal)
I KAC
TRACY KAY LANCANCEL. KAY LANrAEL
Revised 07/15/201,J MY COMMISSION*FFi 460VL5 MY COMMISSION#FF74aO72
EXPIRES Aur,
�)560i5 FlOricltNojaiv
REVIEWS FRO 713880rq1NM0d.N PLANS VE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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