HomeMy WebLinkAboutBuilding Permit Applications:
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ALL APPLICABLE INFO N/IUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe, 6112117 Permit Number:
Building Permit Application
P I a nn ing a nd Develo p me' nt Se rvices
Building and Code Regulr.rtion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: \772) 462-155:\ Fax: (772\ 462-1578 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1313..502-0056-000-2 Lot No
Block No.
Project Name:
Setbacks Front---._ Back: Right Side: Left Side:
I orrRrrro DEscRtPTtoN oF woRK: I
_l
LIKE FOR LIKE CHATNGEOUT
5 TON ,I5 SEER 1O KW
CONSTRUCTION I N,FO RMATION :
nal worK to rs perm rt -a ppry:
Vr HVAC
Electric
Gas Tank l-leas niping
l-lsprinkters
Shutters
Generator
l--l *,noo*s/Doors
[]pt*uine tr l-l noor
Total Sq. Ft of Construction:So. Ft. of First Floor:
tttlUtilities: I lSewer I lSeptic Building Height:Cost of Construction' S 5400'00
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3108 INDUSTRIAL 31st STREET
Citv: FT PIERCE State: FL
ZiP Code: 349 f,V1y. 772-466-3053
phone 11s, 77 2-466-2400
E-Mail: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC035421
PERMIT APPLICATION
Address: 5605 DEER Rl..,N DRIVE
PROPOSED IM PRO'/EM ENT LOCATION :
OWNER/LESSEE:
113mg JOHN B ROHRBOUGH
Address: 5605 DEER RUN DR
Citv: FT PIERCE
Tin anelo' 34951
p hone Ns. 7 7 2-97 1 -027 (\
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
Zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress:
City:
Zip:Phone:
BONDING COMPANY: Not Aoplicable
Name:
Ad d ress:
City:
zip:Phone:
I certify that no work or irrstallation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holder to build the subiect strucrure
which is in conflict with anv dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult With your Home Owners Association and review'your deed for any restrictions rdhich 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 Commencament must be recorded and posted on the jobsite
before the fir
commenctRs
, LU yuur plupelry. A t\uUUe ot Lornrne
t inspection. lf you intend to obtain fir
ruork or recordin Notice of
nent must oe recoroeo ano posteo on tne Jon
ing, consult with lender or an attorney before
lement, n ,q .z')
Slgnature of Owner/Lesser:/Contractor dS t for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
CHRrs lnruoer CHRIS LANGEL
fore me
by
Signature ontractor/License Holder
STATE OF FLORIDA
COUNTY OF srLUcrE
.o;lMtilt il'nrrtar,r,
(Name of person acknowledging )A;ull(Vtu/Jw(Name of person acknowledging )
tr!,.rt,,*.TN;
Personally Know
Type of ldentific
Commission No,
rtary Public- State of Florida )
X nR Drnrlr rrod ldonf ifinef inn
nature of Notary Public- State of Florida )
Known x OR Produced ldentification
f ldentification Producedation Produced ffi\
FF961 459
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REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS