HomeMy WebLinkAboutBuilding Permit Application Oct, 8. 201$ 8: 13AM No. 0365 P. 1
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ALL APPLICAt3i.E INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: "�' P Permit Number;
RECEIVED
Building Permit Application OCT A 8 2018
Planning and Development Services
Building and Cade Regulab n Division 5T. Lucie County, Permitting
2300 VlrglnlaAvenue,Fart Pierce FL 34982
Phone;(772)462-1553 rax:(772)462-1.578 Commercial ' Residential
LPIRMIT APPL(CATIO q FOR: fiMechanlcal
Address: 1. I 1 f�G,` 61 Ud
Legal Description:
Property Tbx IIS MM �'�' 610 c,l T 000— Lot No
Site Pian Name; Block No.
Project Name; IArS 117 600O3
Setbacks Front Bach:- RIght Side,,,,,.Left Side:
LIKE FOR LIKE AIC C 4ANGEOUT 16 5 eej-, q -�O/V r q ti w
i
f I
Additional wot to a Orme under s perm -c ec a app y: '
10 MVAC Gas Tank Cas Piping Shutters Windows/Doors
11 Electric �� lumbing HSprinklers 11 Generator Roof Roof pitch
Total Sq,Ft of Constructic; S ,Ft,of First Floor;
Cost of Construction:$ tt1 - �- utilities: Sawer F5eptic Building Height;
4
Name 4`�'- Name; CHRIS LANOF-L
Address: r' ---� Company: SEA COAST AIG
City, 1 ce lla _j State; / Address-, 3108 INDUSTRIAL 31st STREET
Zip Codd., q'i V.3 Fax: City; PT PIERCE State:FL
Phone No, 777 fP 0Zip Code; 34946 Fax: 772-46"063
E-Mail: _ Phone No, 772-466-2400
Fill in fee simple Title Holier on next page(if different E-Mail: INFO@SFACOASTAIR.COM
from the Owner listed ab ve) State or County License: CMC036421
If value of construction Is$2 00 or more,a-RECORDED Notice of Cornmencament Is required.
Oct. 8. 2018 8: 13AM No. 0365 P. 2
DESIGNER/ENGINEER-, T NotApplicable
7M70RT�GAGE COMPANY: Not Applicable
Name: Name.,
Address,— Address'.
City., State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER-. _Not Applicable BONDING COMPANY: —Not Applicable
Name, Name:
Address! Address:
c1tr, City:
zip: Phone: 71p: Phone:
I certify that no work or Installation has commenced pdorta the Issuance of a permit.
e Countmake no represegrtion that Is granting a ermitX11 autrIze the permit holder to build the subject structure
U
IthlIc"h1i anXappllca etioniaOWnersAr,90CBtlohrup4,byaws covenants tnat may,r%trIct or prohibit such
W in conIct;wit P,
re.Please consult with your Home Owners Association and review your or ef
strilctu doe for any restrictions whic 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 Florlde Building Codes and St.Lucie county Amendments.
The following building permit appllcatlona 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-rasldentlal 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 onthe JobsIte
before the first Inspection,If you Intend to obtain financing,consult with lender or an attorney before
commencing work or recording your Notice of Commencement;
le& s
Signature of Owner Lessee/Contractor—aVant for owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFwLucle COUNTY OF ur Lucie
The Ing Ins"I is acknowledged before me The forgoing Instrume t was acknowledgXby
fore me
this IF lnt�t I
—dayof A� -0, Me,' 20 this 05 day Inktr ,20
CHRIS LANGUL l CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging I
QNA:11A�ffina 01,,� a
(81griature of Notary P6blIc-State of Florida) 4JSatUrl of Notary Public-State of Florida)
Zonally Known X 09 Produced Identification 0 Personally Known X OR Produced IdentIficatlon
Type of IderitIficatlon Prod � ldentlfcaition P
W TINA 1.HQ?NNJ-0()NAELLY
"MY 85IONIFF041411 Commission No. FF941
Commission No. FP90411 .. ". I
EM)XV,Docamber e,2019 UP
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Revised 07115/2014
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