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HomeMy WebLinkAboutBuilding Permit Application 12/28/2015 13:49 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: n� •�C�• �J� Permit Number:
RECEIVED
Building Permit Application g
Planning and Development Services DEC 2 8, 2015
9uilding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)452-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 6787 DICKINSON TERR
Legal Description:
Property Tax ID#: 3415-706-0007-000-9 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 5 TON 16 SEER 10 KW
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Additional wor c to be martormea under this permit–crieck a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers LI Generator Roof
Total Sq. Ft of Construction:_ S Ft, of First Floor:
Cost of Construction:$ 6041,00 Utilities: Sewer L —I Septic Building Height:
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Name ROBERT/GAIL PEYMAN Name: JOHN V L.ANGEL
Address:6787 DICKINSON TERR Company: SEA COAST A/C
City: PT$T LUCIE state:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34952 Fax: City: PT PIERCE State:PL
Phone No.801-5147 _ Zip Code: 34946 Fax_ 466-3053
E-Mail; Phone No. 456-2400
Fill in fee simple Title Holder on next page (if different E-Mail: TL.SEACOAStAIR@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.
12128!2015 53:49 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 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 rec riled and posted on the jobsite
before the first in ection. Ifou inte d to obtain financing, consult with nder or a attor y before
commencin wo r record' ou otice of Commencement. IT
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s
_Signature o wner/Lessee Agent Signature of tractor/Lice Flolder
STATE O LORIDA STATE C1 FLORIDA
COUNT OFsTLUCIE COUNTYOFsTLucic
The ing instru en acknowl fore me The forgoing instrument was acknowled efore me
thi ,. day of 2Q by this "_dayA�EO° r--"'" � by
J V LANGEL J JOHN V L FI,
( a of perso acknowle gin (Na e o on acknowl g)
' nature of (Signature o a y u ic-Stat
Persona nZiR Produced identification Personals no n x roduced Identification
Type dentduced Type of a _
Commission No._ (Seal) Comrnissio TfIACY KAY x$31©N� 11� 72
EXPIRICS August 30,20,a
HtN
TRACYa ,aom
Revised 07/15/20 MY COMMISSION#fF148078
IRF-S August$0,2018
898•A S� Ptoridat3ot 8et'v w.
'REVIEWS PR1V(ISl- SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
BATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS