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HomeMy WebLinkAboutbuilding Permit Applicationn ALL APPLICABLE INFO MI�)ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 3 -Permit Number: Date:!-- Building Permit Application Planning and Development services Co Building and de Regulatl n Divislon 2300 Virginia Avenue, Fort ��lerce FL 34982 Phone: (772)462-1553 'lFax: (772)462-1578 PERMIT APPLICATI0FOR: Mechanical Address: IIZSTC Legal Description: Property Tax 1D 0: Site Plan Name: — Project Name: 0-2 Setbacks Front_ LIKE FOR LIKE A/C LJHVAC I I 11 Electric 2 Total Sq. Ft of Constructio Cost of Construction: $ _ Name D(JOt%1 -1" r Address: q7�5'0N hivc 'NoN City: tG Zpode: S' Phone No. E -M a i I; Fill in fee simple Title H from the Owner listed if value of construction is .01"JUy /-/l Commercial ' Residential X -7-©"z' OOy [4 /V /V q I �v- Back: Right Side �iANGEOUT Z �� N I q,5eer 5 k t -J Left Side: Lot No, Block No. ned undertnis permn-crtecie as OVPiy. Tank❑Gas Piping _Shutters ❑ Windows/Doors nbing []Sprinl<lers Generator 11Roof = Roof pitch Sq, Ft, of First Floor: 3 2 C) 0 Utilities:Sewer Septic Building Height: �A Nom% Name: CHRIS LANGEL a It 110 Y f7 //a Company: SEACOAST A/C ~-s /4 /y C/ State: /_� Address: 3108 INDUSTRIAL 31st STREET ®Fax: City: FT PIERCE State: FL Zip 34946 Fax; 772.466-3063 Code: Phone No. 772-466-2400 -r on next page ( if different E -Mail: INFO@SEACOASTAIR.COM vel State or County License: CMC036421 JO or more, a RECORDED Notice of commencement is required. Not Apphcaole Name: Address: City: State: _ Zip; Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: _ Zip; Phone: rAddress: PLE TITLE HOLDER: — Not Applicable BONDING COMPANY: _Not Applicable Name: Address: City: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County.makes no representation that is granting a permit will authorize the permit holder to build the subject structure which ie'C 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 ma a I 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 tbe recorded with le der ora p attorney before before the first inspection. If you intend to obtain financing, commenccii�n work or recordingour Notice of Commencement. s Signature of Owner/Lessee/Contractor a—S A&nt for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF sTLucle The forgoing instrument was acknowledge j before me this � day of MQ 17i 2p by CHRIS LANGEL -L (Name of person acknowledging) ature FYrsonally Known x Type of Identification commission No. FF141411 Revised 07/15/2014 of OR Produced Identification v MIN y MON ✓<FF 941411 EX -December 6,2019 DudodThm Notary PublloUndNWOOM STATE OF FLORIDA COUNTY OF sTLucIE The forgoing instrument was acknowledged before me this , ?S day of /M rh Lc- 4 , 20 f'i 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 �`, I # JUtY1NA(N �cMSCONNEI,g' Commission No, F 941 =s• 's s MY CpMISUAhSNpfF941411 t1b`" F'XPIAM December 6, 2919 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE REVIEW MANGROVE REVIEW COUNTER REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I N ITIALS