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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.3-3..2016 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort pierce FL 34gg2
Phone: (7',72) 462-1553 Fax: (772) 462_tll8 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1306-1 1 '1-0001-000_0
Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
AMANA PACKAGE UNIT
4 TON 14 SEER 1O KW
CONSTRUCTION I N FORMATION :
Vr
perm tt - c a PP'lY:
HVAC
E lect rir:T
Gas Tank
Plu m bing
trT
Gas Piping
S prin k le rs T
Sh utte rs
Gerrerator
[_--l *,noo,ruslDoorsIRoof
Total Sq. Ft of Construction:Sq Ft, of First Floor:nI_tUtilities: I lsewer I lseptic BuildingJ tleight:Cost of Construction' 5 4491.00
CONTRACTOR:
Name: JOFIN V LANGEL
Company:-SEA COAST A/C
Address: 21301 INDUSTRTAL AVE 3
city. FT PIERCE State: FL
7in Ca'{o. 3i4946 +DO-JUbJ
phone y1o. 772-466-2400
E-Mait: DANISEACOASTAIR@AOL COM
State or Countv License: CACO1644€i
lf value of con:;truction is $2500 or more, a RECoRDED ltoti." oicornr*r,."r.,.rt i, *q,r".d,
PERMIT APPLICATION FOR: Mechanic:rl
PROPOSED IM PROVEMENT LOCATION :
Address: 14295 ZORZAL AVENUE
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEE:
t!3ms wYNNE BUtLDlt\tc CoRPA//OOD
Address: 12804 SW122nd AVE
City: MIAMI
7in ando' 33186
phone 11e. 772-466-8355
E-Mail:
Fill in fee simple Title Holder on next page ( if diff erent
from the Owner listed above)
SU PPLE N4 ENTAL CONSTRUCTION LI EN LAW I N FORMATI(] N :
DESIG GINEER:_ Not Applicable MORTG/\GE COMPANY:
Name:
_._ Not Applicable
I Address:
State:City:
Zip:
State:Ph on e:
FEE SIMPLE TITLE HOLDER:
Name:
Phone:
_ Not Applicable BONDING COMFANY:
Name:
_._Not Applicable
Add ress:Add ress:
City:
zip:City:
Phone:Zip: __ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie Countv makes no representation that is ql?itjlF_a p_g|mit will authoriee the permit holder to build the subiect strucrurewhich is in conflict with any dpfllCatlie HoriiJotirhers As5ociation rules, bylaws or and covenants that may. r.estrict or prohibit suchstructure. Plerase consult With'your Home owneis Assoc-i"aiioi';;b're;i6;'i;iji u"e.o'i"ilnv'i.ri?i'Ji,on, wnrcn may appty.
In consideration of the granting of this requested perrnit, I do hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the F lorida Building codes .nd it. Lr.i,, county Amendments,
The following building permit applications are exempt from undergoing a full concurrency review: room adrditions,accessory structures, swimming pools, fences, walls, signs, screen rooms ano accessory uses to another non-residential use
Signature of Con
I
STATE OF FLORIDA
COUNTY Of sr rucrr
JOHN V LANGEL
Commission No,(5ea l)
Revised 07115120f4
REVIE W
AN G RO\/E
REVIE\,I./
STA FLORIDA
co Qf sr rucre
re me
son acknowledging )
of Notary Pr ate of Florida )
OR Produced ldentificatiorr
Type of ldentification Pr
Commission No,(Sea l)
A"'(i TRACY KAY Lr\NGEL
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MY COf,lMlSSlCN *.FF148072
PLANS
REVIEW REVI EW
INITIALS
irowledging )
(Sign atu re Notary Pu tate of Flc,rida )