HomeMy WebLinkAboutBuilding Permit Application h PL'tCABLE INFO M.I ST BE COMpl:6TED FOR APPLICATION TO BE ACCEPTED '
Date: Permit Number; ,IA\,2k,— d S a,
1 it A CEIVED
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Building Permit Applicati n
Planning sand Development Services 2•
DEC 2Z �.3'.
Building and Code Regulattpn Division I
2300 Virginia A Venue,Fort lerce FL 34982 ST. Lucie Caunty, Permitting i
Phone; (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATIO " FOR: Mechanical.
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Address:" NQS dd I, 06 rJ,+
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Legal Description: . { I
PropertyTexlD#: 3qP5_--70;t —01-17 -000-0
! Lot Na,
Site Plan Name: 1
Block No,
Project Name:-
Setbacks
amer
Setbacks Front•�.•�__ Back: Right Slde: Left Side;
KE FOR 1 ►,�-.A/C C•1ANGEOUT ,+O�
1 '?seer
00 efF
tonal work to be ner Orme uPer t s permit—check `
p a appy: i
!Y!HVAC Cas Tank FIGas Piping _ShuttersF Windows/Doors
gElectric 0 Alumbing. Sprinklers Generator Roof Roof pitch
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Total Sq. Ft of Constructio I Sq.Ft, of First Floor:
Cost of Constructlon:S 0 " Utilities: nSe
tic Building Height:
F
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Name j R li� Name: CHRIS LANGEL
Address: ` 53 �; 1 -Ig L.�1(�4 . C i r, Company: SEA COAST A/C �
City: L State:F4— Address; 3908 INDUSTRIAL 31st STREET
�S Z. FT PIERCE
Zip Code: y,fiax; City; State;FL.
Phone No.. ? Z " ;o�� �( 34948 772-466-3053
Zip code: Fax;
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E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holter on next page(If different E-Mail: INFOQSEACOASTAIR.COM
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from the Owner listed ab ive) State or County License: CM0035421
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If value of construction is$Z 00 or more,a RECORDED Notice of Commencement is required.
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OJUSTRUCiONI: NYUQAT11MI- ,1:�'�SO
DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable j
Name: Name:
Address: Address:
City: State: 'City: State:
Zip: Phone: Zip: Phone`
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: }
Address` Address:
City: City:
Zip: Phone: Zip: Phone: i
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I certify that no work or installation has commenced prior to the issuance of a permit. i
St.Luce County makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
whii
ch s in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners Association and review your deed for any restrictions which may apply. I
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work i
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,slgtis,screen rooms and accessory uses to another non-residential use i
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
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as• gent for Owner Signature of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF STWaE COUNTY OF SrLUCIE
The forgoing instrument was acknowledged•before me The forgoing instrument was acknowledged before me
this day of UG GC �,P r 20 Eby this��day of Pe�e/n 1J� 20 1 by j
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CHRIS LANGEL 1 CHRIS LANGEL 4
(Name of person acknowledging) (Name of person acknowledging)
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( nature of Notary Public-State of Florida} (S nature of Notary Public-State of Florida)
rsonally Known x OR Produced Identification Personally Known x OR Produced identification
Type of Identification ProdA Type
�t�PfiiSU,p•sy aanded7hruHafaryPabioUm)enof identlflcation
J06TINAK ,CONEIIYN
FF4iNIN 0f92
FF941411 Commission No. FF941
4CommiS5lon No. � rEDecember 6, Pr
,ti BOINYcNoAf� IySPCPOyNiNi4&i
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'iFiES;Decembar8,2of9 1
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Revised 07/15/2014 I
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REVIEWS FRONT ZONING SUPERVISOR PLANS' VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I
DATE '
COMPLETE
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INITIALS