HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 414117 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-L553 Fax: (772) 462-.1578 Commercial Residential x
Address: 16 DEL P|IADO LANE
Lega I Description:
Property Tax lD #:
Site Plan Name:
i\4 1 4-50 1 -1 70'1 -000-9 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right side:Left Side:
DETAILED DESCRIPTION OF WORK:
L|KE FOR L|KE CHAN r
3 TON '14 SEER 8 1'(W JA,r {^t
Tffis pe
Zruo.
I rte.tri.
Tlils pe rmlT -
f] c., runr. l-lcas pipir
fl pt*nine l---lsprint<ters Generator l-l noor
Total Sq. Ft of Consltruction:So. Ft, of First Floor:
Utilities: l---lr"*.r. E t"*Cost of Construction' S 4210.00 Building Height:
OWNER/LESSEE:CONTRACTOR:
N3ms WYNNE BUILDINc CORP Name: CHRIS LANGEL
Address: 12804 SW '12lZnd AVE Company:SEA COAST A/C
City: lv.llMl Stirte:FL Address: 3'108 INDUSTRIAL 3'1st STREET
ZiP Code: 33'188 city' lf IIENeE State: FL
phone x16. (((JOHN SAXON 607-738-7005)))ZiP Code: 34946 S1y. 772-466-3053
E-Mail:phone Ns.772-466-2400
Fill in fee simple Tiltle l"lolder on next pafle ( if different
from the Owner listed above)
E-Mail: DANISEACOASTAI R@AOL.COM
State or Countv License: C[/C035421
PERM IT APPLICATION FOR:
PROPOSED IM PROVEM ENT LOCATI.ON :
lf value of construction i:; $2500 or more, a RECORDI|D Notice of Commencement is required.
SU P P LE M EI\TAil- CO N STR U CTIO t\ LI E N LAW I N FO RMATI O N :
DESIGNER/ENGINEEI{:_ Not Applir:able MORTGAGE COMPANY:_ Not Applicable
Name:Name
Add
City
zip:
Addr
City:
c'
CSS:
State:State:
zip:Phone:
FEE SIMPLE TITLE
Name:
HOLDER:_ Not Applir:able BONDING COMPANY:
Name:--Not Applicable
Ad d ress:Addres
City:City:
Phone:zip:
I certify that no work or installation has commenced crior to the issuance of a permit.
St. Lucie Countv makels no representation that is srantins a oermit will authorize the permit holder to build the sublect structure
which is in conflict with anv dpplicable Home Owiers As5ociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please cons;ult With your Home Owners Association and review'your deed for any restrictions which may apply.
In consideration of the granting of this requested perfnit, ldo hereby agree that lwill, 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 exempl. from undergoing a full concurrency review: room additions,
accessory structures, swirnming 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 inr;pection. lf you intend to obtain financing, consult with lender or an attorney before
commenc k or recordin r Notice of Commencement,
SU P ERVISOR
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
Revised 0711512014
Signa Owner/Lessee/Contractor as Agent for O'wner
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person ackrrowledging )
ure of Notary Public- State of Florida )
Personallv Known X OR Produ
Type of ldentification Produced
Commission Ie. FFe6145s
actor/License Holder
STATE OF FLORIDA
(Name of person acknowledging )
of Notary Public- State of Florida )
commission l\e. FFe6145s
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