HomeMy WebLinkAboutBuilding Permit ApplicationALI�ANFO M 5T BE �p(Np4ATBD fOR APPUCATIDN TO Be ACCEPTED
AP ' permit Number;
wilding Permit Application
'lanning and Development
wilding Cade Regulatl n Divlston Residential X
230oVIrg�iZAv6553t�laxc(772)h62-1578 Commerciaere FL 34982 l =
phone; ( )
)ERMIT APPtICATI()�1 FUR: Nlechanlcal
�ddYess: ,�--
_egal Description:
Property Tax ID #:
site Plan Name:
Protect Name:
Setbacks Front
LIKE pOR LIKE AIC C
Electric
Total Sq, Ft of Gonstruc
Cost of construction; $
Name
Address: � �
City, 3 / �
phonneeNoo,
E-M a I I;______._-----
Piil in fee simple Title He
from the owner listed s
If value of
Lot
Block No,
Back; --
Tank
3
l 15 Sgzf,
� s perm — c ac all apP�Y
_Shutters ❑Windows/Do
Gas Piping �Roof pitch
I J Sprinklers Generator Roof
S �, FtFt,jj of First Floor;
utilities ;L�-�Sewer�ldingHeight;_
Septic BuI_—
_ State; / f
%x d `�
on next page (if different
ar more, a RECORDED N
Name; CHRIS LANGEL
Company, .COAST AlC
3toBINDUSTRIAL3
dress: 1st3TRRET
AdStata; PL
City: FT PIERCE
Fa772' i
3k9A6 x; 66.3063
Zlp Code; ,` _._._._----
Phone Not 772-t�B8-24oa
mail: INFO@SEAQOA,9TAI R.COM
State or county License: CMC035h2f
of Gammencament is requires,
IGNFR/ENGINEER Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
ne' Address;
cress; State:
:
r
State'City:
Phone; Zip; Phone:
;SIMPLETlTLEHOLDER; �NotAppIIcable BONDING COMPANY; Not Applicable
Name:
me' Address:
dress; City:
y Phone; Zip: Phone;
ardffy that no work or Installation has commenced prlortop the IssWuan�cue Hof a permit,
Lucie Count makes no r Bprel�ca�IsiHomhe owneastAssoclatlonlrulels, bylawsxor andpcovenants that melt' reStrlCtbor prohibit such
ch Is in east c with any pp h y pp y
mture• please consult with your Home owners Association and review your deed far any restrictions whit ma a I .
:onsideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work
Iccordance with the approved plans, the Florida Building Codes and st. Lucie County Amendments•
following building permit applications are exempt from undergoing a full concurrency review: room additions,
essory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-reaidentlal use
ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
fore the first inspection, If you Intend to obtain financing, �consult with lender or an attorney before
nature of own or/ Lessee/ContractoraSA9entfor Owner Signature ofContractor/LlcenseHolder
ATR OF FLORIDA
l UNTY O F sr Lucie
e forgoing
Instrument wps acknowledged�efore me
is 3 day of
tie LANGEL }-
Ime ofperson acknowledging) '
gnature of Notary Publlo- State of Florida J
sonally Known x oR Producad ldentlfication
is of identiflcatlon ProdWi �^"' '"^'��
ai .•t,,.. •u,.wua, mm�ic.rnAlhlF LY 10
omission No. FFeatati
evised 07/75/20J.4rnom
STATE OF FLORIDA
COUNTY OF BnuaE
The for oing instrumentwas acknowledged ba are me
this _r day of _<�y �, 20 by
RIB LANGaL
CH
Mature of Notary Public:" State of Florida
rsonally Known X OR Produced identification
pe of Identification �P%
Commission No.
:VIEWS
S
VREVIEWON
REVIEW
MR�WVE
COUNTER
REVIEW
REVIEWOR
REVIEW
rE
A P LETE
IALS
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