HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �jQ
611/17 Permit Number: r / f°�
Date: -
Building Permit Application JUN ® 1 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
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Address: 4902 N KINGS HWY (LAKEWOOD PARK LIQUOR AND PUB)
Legal Description:
Property Tax ID#: 1313-232-0001-000-4 Lot No.—
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: ' Left Side: _
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Gas Tank ❑Gas Piping _Shutters o Windows/Doors
❑Electric ❑ Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor: _
Cost of Construction:$ 7200.00 Utilities: SewerSeptic Building Height:
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Name INDRIO RETAIL LLC Name: CHRIS I,ANGEL
Address:725 CONSHOHOCKEN STATE RD Company: SEA COAST A/C
City: BALA CYNWYD State:PA Address: 3108 INDUSTRIAL 31 st STREET
Zip Code: 19004 Fax: City: FT PIERCE State:FL
Phone No.772-465-1653 Zip Code: 34946 Fax: 772-466-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: DANISEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CM0035421
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not, MORTGAGE COMPANY: Not Applicable
Name: Name: —
Address: Address:
City: State _ City: State:
Zip: Phone: Zip: Rhone:
FEE SIMPLE TITLE HOLDER: Not Applicable SONDiNG 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 representatidn 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 recorded and posted on the jobsite
before the first inspection, If you intend to obtain financing, consult with lender or an attorney before
commencin work or recordiDl your Notice of Commencement.
5
Signature of Owner/Lessee/Contractor os Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF aT4VQIE
The f rgoing instru e t a acknowledge fore me The f rgoing inst i meat as acknowled before me
this day of z0 by this day o ' 2p by
AiRIS LANGEL CKRIS LANGEL
(Nam f person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) Ignature of Notary Public-State of Florida)
Personally Known x . OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. FF9B1459 � � K#�f9 'ta5 mmission No. FF .'I r OANP-LLS M d59
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-• xpl4�eS Psb�afY 16.2024
Revised,07/X 5/2014 +•rev+ +53 `" iavzi a�a 4+ss F
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS