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HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE ICOMPLETED FOR APPLICATION TO BE ACCEPTED 92rc. 1117117 Permit Number: Building Permit Application P I a nni ng o nd Deve lo pm e nt Se rv ice:; Building and Code Regulation Divis,ion 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (172) 462-1553 Fax: (7'72) 462-1578 Commercial Residential x PERMITAPPLICATION FOFt: Mechanical Legal Description: Property Tax lD #: Site Plan Name: '1 3 1 2-500-0'l 6t|-000-1 Lot No Block No. Project Name: Setbacks Front Bieck:Right Side: _ Left Side: I I DETAILED DESCRIPTION OF WORK: I l LIKE FOR LIKE CHANGEOIJT 4 TON 16 SEER 8 KW CONSTRUCTION I N FORMI\TION : s permrr - c appry: V T HVAC Electric Gas Tank Plumbing l-leas eiping l_lsprinkters t-ttl Shutters Generato r l--l *,noo*s/Doors T-[---l noor Total Sq. Ft of Construction: Cost of Construction: $ 5231 00 Building Height: OWN ER/LESSEE: 113ms FRANK SUSON Address: 5304 SUSON LANE ttT\/.rrrrLr\vL"'.r._S;tate:FL zin cndp' 34951 phone 11e. 772-468-1 995 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 r"nore, a RECORDED Notice of Commencement is required, PROPOSED IM PROVEM ENT LOCATION : Address: 5304 SUSON LANE CONTRAC'|OR: Name: CHRI{} LANGEL company: eF4 t91!I49 Address: 3'108 INDUSTRIAL 31st STREET citv: r I rrtrr(uE state: rL 7in CnAo' 34946 p3x' 772-466-3053 phone Ns.772-466-2400 E-Mail: DANISEACOASTAIR@AOL.COtV State or County License: CMC03542'1 DESIGNER/ENGINEER:_ Not Applicable Name: Add ress: City;State: Phone: FEE SIMPLE TITLE HOLDER: -- Not Applicable I BONDING COMPANY:_Not Applicable Name: I Name: Add ress:Ad d ress: City: zip: City: Phone:Zip: __ Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countv makes no representation that is srantinq a permit willauthorize the permit holderto build the subiect strucrure which is in conflict with anv dpplicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cir prohibit such structure. Please consult With your Flome Owners Association and review'your deeld for any restrictions Which may apply. In consideration of the granting of tfris requested permit, I do hereby agree that I will, in all respects, perform the work ln accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit appliciltions 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 farilure to Record a Notice of Commencement may result in your paying twice for improvements to your properl,y. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. zip: Revised 07115120 ZONING REVIEW MANGROVE REVIEW SUPPLEMENTAL CONSTRLICTION LIEN LAW INFORMATION: MORTGAGE COMPANY: _ Not Applicable Name: Ad d ress: Zio: Phone: STATE OF FLORIDA COUNTY OF srLUcrE Ii:ryff,:;.,[td[[{dlda5?"'1"33' reme Signature of Owner Contractor of person acknowledging ) Public- State of Flor Personally Known x OR Prodrrced I Tvpe of ldentification Produced Commission No. Signature of Contr€ctor/License Holdei STATE OF FLORIDA son acknowledgine ) of Notary PublicrState o1 ftoiida ) Personallv Known x OR Produced ldentification Type of ldentification Produced Commission l\e. FFe6145e fnn e, t te tut- ilr=J'"rt "Jr.#; ;' ; .o'l'''l-.1 l, lldrlnliu! "11eryed c(il! FRONT COUNTER SU P ERVISOR REVIEW VEGETATION REVIEW SEA TURTLE REVIEW CO M P LETE