HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO OF ACCEPTED
Date: � I AD Permit Number:
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Building Permit Application DEC 0 8 2015
Planning and Development Services PERN117TING
Building(and Code Regulation Division St. Lucie County, FL
. 300 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: 2900 N A1A APT 3A
Legal Description:
Property Tax ID#: 1425-702-0005-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LIKE FOR LIKE 4 TON WATER SOURCE HEAT PUMP
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Additional worcto be pe rmed under-this perm- it cec all appy:
HVAC Gas Tank ElGas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft, of First Floor:
Cost of Construction:$ 4882.00 Utilities:[]Sewer L=lSeptic Building Height:
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NameALBERTALTARAC Name: JOHN V LANGEL
Address:2900 N Al A APT 3A - Company: SEACOAST A/C
City: FT PIERCE State:FL Address: 2601 INDUSTRAI LAVE 3
Zip Code: 34949 Fax: City: FT PIRCE State:FL.
Phone No,772-489-5519 Zip Code: 34946 Fax: 466-3053
F-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$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: State,
Zip' Phone: Zip:—Phone:
FEE SIMPLE TITLE HOLDER- Nat 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 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 0 ER.,Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t our property. A Notice of Commencement must be recorded nd posted on the jobsite
or
before the first pection. If vhu intend to obtain financing, consult with lend or attcir7ey�efcire
commencing loicIrrecordig- urnticeofCommencernent.
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Signatur f Owner/L t Signature of CWi;rar/Llcense Hol
STATE VFLORIDA STATE OF FLO
COUNTY OFST LUC15 lessee/
COUNTY OFST L '1
T orgo ing instru e _r acknowledged re me The forgoing instrument was acknowled before me
DMEMBER
y
thfi s day of IC
day of 20 acknowledged
this by
JOHN V GEL JOHN V LANGF;L
N f P n cknowledging) (Nam erson arknowl@d
ar a f Florida) ary Publi of' rl
orgo'ng inlru e
day of _7
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Per nally K wn x OR Produced Identification 7Personally K �wn X OR oduced e 't1fication
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Ty of Ide t! atio roduc Type of Id ti tion Produced
p,cy KAY CO i
TFIA gyp
C m n IiM072 commis i al
Alr4NE KAY LAP
My COMMISSION#FF'480�2
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_Xp SF_S August 30,20113
EXP
_XP 148�02
amf ust 30.2098
Revised L(4"7132"0153 P(Q?jdaN,Ji, se-ice-com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
QMPLETE_
INITIALS
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