HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3/15
Permit Number: (09P
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue,Fort Fierce FL 34982
Phone;(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 155 U VISTA COURT
Legal Description:
Property Tax ID#:
Lot No._
Site Plan Name:
Project Name: Block No,
Setbacks Front. Back: Right Side; Left Slde:
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LIKE FOR LIKE CHANGEOUT
3.5 TON 14 SEER 8 KIN PACKAGE UNIT
"mom;:i•�, ,,,o e Orme un Er Is permit—c ec a appy:
�✓ HVAC Gas Tanlc Gas Piping _Shutters
�7 0 Windows/Doors
Electric L_JPlumbing 11
Sprinklers �Generatar
Roof
Total Sq, Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6153.00 Utilities. 0Sewer OSeptic Building Height:
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MarneDAVID/JOAN ROBERTS '
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Name: CHRISTOPHER P LANGEL
City, FT PIERCE Address:1200 CH,gRLOTi'A STREET Name:
SEA COAST AIR CONDITIONING
City: FState:Fly 3108 INDUSTRIAL 31ST S7REt*T
Fax:Zip Code: 84982 FAddress:
- City: FORT PIERCl= State:FL
Phone No.772-201-2278 Zip Code: 34'946 Fax: 772-466-3053
E-Mail: Phone No. 772-466-2400
Fill In fee simple Title Holder on next page(if different 5�Mail: DANISEA'OASTAIR@AOL.COM
from the Owner listed above)
State or County License: CMC035421
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. -
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DESIGNER/ENGINEER: _,,,Not Applicable MORTGAGE iGONIPANY: •,Nat Applicable
Name: Name:
Address: Address:
City; State: City-, Me:
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 Coun makes no representation thatrenting a permit will authorize the permit holder to build the subject structure
which is in conWict with any applicable Home 'wsgranting
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 riorida 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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
-cornmenCing work or recording our Notice of Commencement. 4
Signature of Owner/Lessee/Agent Signature of ContractorJ.1cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OF,' LvcE
The forLyoing instruAnent was arknowledgedtbefore me The forgoing instr ment was acknowledFad before me
ay o � 2
df I A a Apr,
this--3— .0 this_bL day j 2CI(C by
CHRISTOPHkR#'LANGK CHRISTOPHER P LANGEL
(Name of person acknowledging) (Name of person acknowledging)
1 � I I IIJJA,�Id-A
Signature of Notary Public-State of riorida r4nat-ure of Notary Public-State of Florida
Personally Known x OR Pro uc Personally Known x OR Produced Identification
Type of Identificatlo Prod + rmb Type of identification Produced
OMAN
Go
Commission No, commission No,
1 -4 #FF96i469
ENT
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r 16,2020
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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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