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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MlI1SY BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3' //-/I__ Permit Number: Building Permit Application Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ' Residential x PERMIT APPLICATIOk FOR: Mechanical Address: S 3 Gdu' Legal Description: Property Tax ID P: 3 _Z l0 /0-0/01- ©®0 Site Plan Name: Project Name:G4 Lern Setbacks Front __ Back: Right Side: Left Side: LIKE FOR LIKE A/C Cl EOUT "--) +() N) NSeI- J o k LJ Lot No. Block No, as Piping LJ_Shutters prinklers 1:1 Generator Total Sq. Ft of Constructi�o �n: _ S Ft, of First Floor: Cost of Construction: $ =}_-�1 Utilities:[]Sewer FSeptic Building Height: FjWindows/Doors 0 Roof = Roof pitch Name W I l, a M Address: 5 l —S( - City, GCity: x014 -P"RfCe Zip Code: 3 V q g � Phone No, -7 Z ' E -Mail: Fill in fee simple Title He from the Owner listed a 1P�G Name: CHRIS LANGEL C1 Dr I Company: SEA COAST A/C State: ZZ— Address: 3108 INDUSTRIAL 31st STREET Fax:�� City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466.3053 Phone No, 772-466-2400 on next page ( if different E -Mail: INFO@SEACOASTAIR.COM eI State or County License: CMC036421 If value of construction Is $2100 or more, a RECORDED Notice of Commencement is required Slf"PLEMENTALCONSTRU'CTION,LIEN LAIN.INF©RMATION w. DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: — Not Applicable Name: Address: Address: City: State: _ Zip: Phone: 'City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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. LucieCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which 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 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 commencin work or recording our Notice of Commencement. s Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY OF sT Lucie The forgoing Instrument was acknowledged before me this iLday of N\ct I U1 20 I jby STATE OF FLORIDA COUNTY OF sT wCE The forgoing instrument was of knowledged before me this I II CfC' day of M '20 %> q by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) of Notary 0'ersonally Known x Type of Identification Commission No. 1`1`94MI Revised 07/15/2014 da) OR Produced Identification Ex ! Decembw 6, 2019 Boadod Thou Notary Pubra UAM111ers Notary Public -State of Florida ) Personally Known x Type of Identification Commission No. OR Produced Identification 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS