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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO rMill, Date: a W s. ISS planning and Development Building and Code Regulati 2300 Virginia Avenue, Fort Phone: (772) 462-1553 PERMIT APPLICATIO Address:%l0 6( G 6^C( f IA1_6 Property Tax ID #: Site Plan Name: _ Project Name: 1 Setbacks Front BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application vices Division rce FL 34982 K: (772) 462-1578 Commercial Residential X FOR: Mechanical 'ark -u/� k �- ✓��)]; 18 0 is Zo zI,_. fie"' /CA ldC4 I Kir Back: Right Side: Left Side: Lot No. Block No. LIKE FOR LIKE A/C C'iAN�}GEOUT Z-5 SCM 5 (,sk �� OH 2,1� 5P1[gq�/y Gsk IGa 3rl l�1 se c3961 `l 3, S -10 N I O k�„I -1-111 o N / g -1 ormea trona work to be e;as unaer [ms penun– ” °_ ❑Gas Shutters Q Windows/Doors HVAC Tank Piping Electric Pilumbing OSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: _ Sq. of First Floor: Height: Cost of Construction: $ A ©I a �� Q Utilities: L_JSewer Septic Building Name Du s� a Name: VNCHRIS LANGEL �� , � N— SEACOAST A/C Address:K-1 J �T A ! UrC - Company: Cit �Ot P-lC�y State: `l Address: 3108 INDUSTRIAL 31 at STREET Zip'Code: L/� - Pax: ��„„ city; FT PIERCE State: F� Phone No. % Z 3.– 7� 3 W Zip Code: 34946 Fax; 772-466-3053 E -Mail: _ Phone No. 772-466-2400 INFO SEACOASTAIR,COM Fill in fee simple Title Holler on next page ( if different E -Mall: @ from the Owner listed a66vt;) State or County License: CMC036421 if value of construction is $200 or more, a RECORDED Notice of Commencement Is required. SU"PLEMENTAL,CONSTWCTICIN LIEN 1AW IN AT ION: SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: 'City: State: City:State: _ Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure Pleaseconsultwith your Home Owners Association and review bylaws ur deed for any restrictions which may applyhibit such 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 ",,rie nr rarnrrling vour Notice of Commencement. Ye Signature of Owner/Lessee/Contractor as7tgent for Owner STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument wa acknowledged before me this — day of rI,1 a I T 20 Lby CHRIS LANGEL -L (Name of person acknowledging) f ersonally Known x Type of Identification Commission No./`1`941411 Revised 07/15/2014 Florida OR Produced Identification= 2619 s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST WCIE The forgoing instrument was acknowledged before me this '5- day of 1 20 _11 by CHRIS LANGEL (Name of person acknowledging ) (S nature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Pr ... JU13INA Ng �yy Commission No. FFsata ?u MVCDMtl8of i7Na FDg Ngjjy a ..0PIRES; December 6, 2619 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS