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HomeMy WebLinkAboutSilver Oak Drive\Trij.r $€!if. , ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date.03-10-2016 Permit Number: Building Permit Application Plonning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1.5lB Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IM PROVEM ENT LOCATION : Legal Description: Property Tax lD #: Site Plan Name: 3402-606-011 1-000-4 Lot No, Block No. Project Name: Setbacks Front Back:Right Side: Left Side: LIKE FOR LIKE CHANGEOUT 4 TON 16 SEER 1O KW CONSTRUCTION I N FORMATION : wor rlormed under this peTmlt=apply:V!HVAC E lectric I Gas Tank l-lcias riping Plumbing l_lsprinkters Shutters Generator l-l *,noo*s/DoorstrtrRoof Total Sq. Ft of Construction: Cost of Construction: $ 4881'00 Building Height: OWNER/LESSEE: Address: 5205 SILVER OAK DRTVE DETAILED DESCRIPTION OF WORK: lf value of construction is $2500 or more, a RECORD ED Notice of Commencement is required. CONTRACTOR: J13ms JOSE I BENTTEZ Address:5205 SILVER OAK DRTVE Citv: FT PIERCE State: FL ZiP Code: 34982 P h o ne 111 s. 7 7 2-21 6-341 6 Fill in fee simple Title Holder on next page ( if clifferent from the Owner listed above) Name: JOHN V LANGEL Company: SEA COAST A/C Address: 2601 INDUSTRIAL AVE 3 City: FT PIERCE State: FL ZiP Code: 34946 p2x. 466-3053 phone 116. 466-2400 E-Mait: DANISEACOASTAIR@AOL.COM State or County License: CACO'16446 DESIGNER/ENGINEER:Not A e Name: Address: City:Sitate:Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable Address: City: zip:Phone: I certify that no work or installation has commencr:d prior to the issuance of a permit. St,' [ucie.County.makes no representation that is granting a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anv dppticable Horiie owherrs Asiociation rules, byiawi;i;;{;ovair;;i;ih;i iliv"reit'ri.i?i"piiiiii,'it,r:f.,structure' Please consult With riour Home owners ltssociatlona_nb ievi6f ioijii..il'fo;;.i'i"il"riit'onr wnrcn may appty. In consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building codes and 5t. Lucie cpuniy Amendments, The following building permit applications are exenrpt from undergoing a full conf urrency review: room additions, accessory structures, swimming pools, fences, walll;, signs, screen rooms and accessory uses to another non-residential use : Your failure to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be re,eoi'ded and 6ested bn-the iobsiteion. lf.y9u intend to obtain financing, consult wilfi lender or ai),Afiorni{6"t6r"curnmencrng Ulcl< or recordi6f ve.@ l\rdtic,: of Commence[ient. MORTGAGE COMPANY:_ Not Applicable Address: Zip: t, Phone: BONDING COMPANY: _Not Applicable Name: STATE OF FTORIDA COUNTY Qf srrucre ,.tolrru v Lnltoela (Name of person acknowledging ) (Signature of Notbry public- Stat'e Signatur e 15f Co ntra cto r/ Li The forgoing instrument was acknowledged before me this 10 dayof MARoH ,20 _by Commission of persqn acknowledging ) Public- State of Florida ) Revised 0711512014 FRONT COUNTER VEGETATION REVIEW SEA TURTLE REVIEW February(S#e20i*tt*es Fobruery 16' 202'J