Loading...
HomeMy WebLinkAboutBuilding Permit Application 03/01/2018 09:19AM 17724484416 FRONT OFFICE PAGE 02/05 ALL AP 8 I rST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Numb r: - MAR 0 1 201.8 Building Permit Applicati Planning and Development 5ervice5 T. Lucie C iunty, Permitting Buliding and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 I Phone:(772)462-1553 Fax:(772)462-1578 Commercial esiden a'.-. - PERMIT APPLICATION FOR: Mechanical Address: 0�► V Y Legal Description: Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ,1 "S •w4'iC,Yk ''l '.�.� ,r" ff _oS`"►"r°f�;, �"1- 4 'tyr '!.. LIKE FOR LIKE CHANGEOUT -Poi , -j W CI(I F_05�4/wriccCL�"Fotrla� 70 AdclMonallwo i ee —ed un er t Is perm –c ec a appy: I MVAC Gas Tank []Gas Piping Shutters ❑ indows/Doors Electric Plumbing S rinklers Generator oof Roof pitch. �1 g L..J(� p Total Sq.Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ Utilities: Sewer 1:j Se tic ilding Height: ad a �.'" •DG- .r• Mame t'* ((Up" X(COName: CHRISTOPH R LANG41 Address: f 1(1 Company: SEA CO ST A/C City: iiState:FL Address: 3108 IND STRIAE IstST Zip Code: Fax: City; FT PIERCE State:FL Phone No. �E__ax_cZip Code: 34W Fax: 466-3053 E-Mail: Phone No. 772462400 FiR In fee simple Title Holder on next page(If different E-Mail: DAN ISEACpASTAIAOL.COM from the Owner listed above) State or County Lit nse: C 035421 i If value of construction Is$3500 or more,a RECORDED Notice of Commencement is required. I 03/01/2018 09:19AM 17724484416 FRONT OFFICE PAGE 03/05 •NFR/ENGINEER: Not ApplicableMORTGAGE COMP NY: Not Applicable Mame: Name: Address: Address: City State: City: State: Zip: Phone: Zip: Ph 3ne: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COPAPAP IY, Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Ph ne: I certify that no work or installation has commenced prior to the issuance of a permit. St.l Cie County makes no representation that is granting a permit will authorize the permi holder to wild the subject structure whlc�is in conflict withan applicable Home Owners Association rules,bylaws or and covenants that ay restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for anif restriction which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,p!rform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Am ndments. The following building permit applications are exempt from undergoing a full concurrency eview:roor i additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anoth non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in N our paying twice for improvements to your property.A Notice of Commencement must be recorded and F osted on the jobsite before the first inspection. If you intend to obtain financing,consult with le der or an attorney before commencing work or recording our Notice of Commencement, Signature of owner/Le ee/Contractor as Agent for Cwvner Signature o to License Ho er STATE OF FLORIDA STATE OF FLORIDA -COUNTY OF ST LUCIE COUNTY oUGE The fy&ng insir as acknowledg ore me The ng instr a as ackn ledgefore me thisday of 20by thisdayflf 20 _by CTMIS LANGEL CHRIS LANGEL (Name of person acknowledging i (Name of person ackno ledging) i gnature of NotaryPublic-State of Florida) . (Si a ure of Notary P Iic-State f Florida) ersonally Known x OR Produced►dentification Pe r"natty Known x OR Pro uced Identification Type of Iden ' Dation ProducedY ype of Identificat n P oduce 1 FF 941419 / JU31iNA L HOPRN Commission — :r, mger6,� mmissionNo. _ 'E ( �IIS310A[#iFq�jy F mgPuaecu'd°`wtoaro I -` EXPIRES:Deoember 6,2019 Ro"d� I Bondm Thtp Notary P"*Underw*ft Revised 07/1.5/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA ION A TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIE EV1EW REVIEW DATE COMPLETE IN MALS I I