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HomeMy WebLinkAboutBuilding Permit Application+p. tCAB SY BE COMPLETED FO, PLICATION TO BE ACCEPTED Date: I'a 7 ) ��Permit Number: RECEIvku Building Permit Application oEC 12 ?.ots Planning and Development Services Building and Code Regulatl n DivisionT, LyElO 60llnty P@fl 2300 VlrglnloAvenue, Fort pierce FL 34982 -- Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ' Residential x _ PERMIT APPLICATI Address: (e3 00 Legal Description: _ Property Tax ID #: 13 Site Plan Name: Project Name: S"s Setbacks Front FOR; Mechanical I yaN ►' �ia0 —O V N ct� Back: )(9H 000 / Nak2,_ RlghtSIde: Left Side: LIKE FOR LIKE. WO(-K ZHVAC U []Electric Total Sq. Ft of Constructic Cost of Construction: $ R 01 L .` rmeo un0ertmsperma—cnecrcall apply: s Tank ❑Gas Piping rn _Shutters imbing OSprinklers 0 Generator S , Ft, of First Floor: _ I 006,00 Utilities: ElSewerF—]Septic G City: PpCi'y,,ercc, Stater Zlp Cade: 3 q T l Fax: p Phone No, -7 , E-M ail: FIII in fee simple Title Hol er on next page ( If different from the Owner listed 'above) Name: CHRIS LANGEL Lot No, Block No. QWindows/Doors ElRoof = Roof pitch Building Height: Company: SEACOAST A/C Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No, 772-466-2400 E-Mail: INFO@SEACOASTAI R,COM State or County License: CMC036421 If value of construction Is $2$00 or more, a RECORDED Notice of Commencement is > - L MEN WIfFD,RMATI©Nr€��, y��r; SSPL CONSTRIIJCTI©N�LIEy l t 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: _Nat 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure Association bylaws which is in conflict with any applicable Home Owners rules, 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 exemptfrom 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 commencing work or recording our Notice of Commencement. LAW A � s Signature of Contractor/License Holder Signature of Owner/Lessee/Contractor went for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY O F sr wciE COUNTY OF sr wciE The foraoing instrument was acknowledged before me this �_, day of PtLtM jj 2' . 20 iLby The forgoing instrument was acknowledged before me this ay ofGG/=l6P1—, 20 by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ature of Notary Public -State of Florida) 7enally (S natureofNotary Public -State of Florida Known x OR Produced Identification Personally Known X OR Produced Identification Type of Identification Prod Type of Identification Pr .. . - XETINALHOPKINS•CONNELLY Commission No. PP9atatl EM�SSiCN8FF941411 2019 JUBTINA Commission No. FPS414 ; _ {, y8-0oNNELLy x MYCOMAN,y OFF941411 December a, 'rp,'r��(,f� BoadedThu Notary WeNAIM u: .K#pIRES; Oecembar 6, 2o19 — ®sn9e@T0mbo Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS