HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, MIA51-115 Permit Number-
:y i7F;V RECEI" :D DEC 15 2015
"k, 77I11 PA
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce-FL 34.982
Phone: (772)462-1558 Fax, (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR. Meehanical
Address: 7847 SASAL LAKE DRIVE 34986
J
Legal Description:
Property Tax ID#: 3321-501-0047-000-4 Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side'.
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LIKE FOR LIKE CHANGEOUT
(2) 2 TON 16.6 SEER 5KW A/C UNITS
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Additional work to13e ertormed under this permit-Check all tbat apply:
EHVAC r]Gas Tank E]Gas Piping El-Shutters []Windows/Doors
0 Electric Q Plumbing OSprinklers [I Generator Roof
Total Sq.Ft of Construction: SFt of First Floor:
Cost of Construction:$ 7324.00 utilitiest Sewer USeptic Building Height:
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Name NORMAN/KATHLEEN STAUB Name, JOHN V LANGEL
Address-7847 SASAL LAKE DR Company: SEA COAST A/C
City: FT PIER-CE State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code- 34986 Fax: City: FT PIERCE State:FL
Phone No.973-919-1986 Zip Code: 34946 Fax,. 468-3053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page if different E-Mail: TLSEACOASTAIP,@AOL.COM
from the Owner listed above) State or County License: CAC016446
L
tf value of construction is$2500 or more,a RECOPOED Notice of Commencement Is required.
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DESIGN ER/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 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.;,fYour failure to Record a Notice of Commencement may result in your paying twice for
improvements to you//Property.A Notice of Commencement must be reccAedan d d the
Jobsite
0 e OD'before
before the first insp ion. If you in -nd t 9,btain financing, consult with der or an7o
cling y f Commencement.c4b1,
commencing work r rAccir
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Signature of 0 er/Lessee/Agee Signature of ntracto icen I older
STATE OF 111113STAT
F STAT FLIORIDAs+
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COUNTY 0/ COU OF—
The torgoing instFilknent Was acknowledged before me The forgoing instFu4qent was acknowledged before me
this IT day of 20 by this Al day of _by
V
iM. ANGEL
JOHN EL
tp'A�ANGL
m of person ack ledg' g e of person acknovvledAIng)
TS-4nature f No y a ig
to of Florida
Personall nown x 0 Per y Knm
Type o den i is ". .4-Arot —--An-n�751 of Identifi af 'H.
m FF148072
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wi 2015
G S August 80,20
i.:
Commission i -J41 rzyPIRF-S 1"'91 Commission No
1*071 3*9 0153
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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