HomeMy WebLinkAboutBUILDING PERMIT APPLICATION- LangelAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/03/2021
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V L 0� t�� U L�'- t
Plonning ond Development Senlices
Building and Code Regulation Division
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Permit Number:
Building Permit Application
2300 Virginia ve sue, Fort Fierce FL 34982
Phone: 2 4 2-155 Fax: 2) 462-1578
Commercial
PERMIT aPPucaTioN FOR: dingle Family Residence
PROPOSED IMPROVEMENT LOCATION:
Address: 10610 Pine Needle Dr Fort Pierce, F1 34945
Property Tax I D : 3 1- -oo -000-9
Site Plan Name:
Project Name
DETAILED DE F I PTI N OF WORK:
construct a 3 bedroom 2 bath 2 car garage single family residence
New Electrical Meter. Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank Gas Piping Shutters
► Electric
Plumbing
Total Sq. Et of Construction: 3736
Cost of Construction: 4517749
OWNER/LESSEE:
NaMeKenneth and Candice Langol
Address: 11 Harbour Isle Drive W unit 103
Sprinklers
City: Fort Pierce State.
Zip Code: 34949 Fax:
Phone No. ��2' 2-0- 3WSz
E-Mail: langelkenny@yahoo.com
Generator
Residential
Windows/Doors
X Roof
Lot No.
Block No.
Sq. fit. of First Hoar:
Utilities: � Sewer 4 Septic Building Height-
Fill in fee simple Title Helder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name. James Trefelner
company: Tr f In r Construction Inc
Address: 1 bo Coponhaver Rd
Pond
Pitch
City: Fort Pierce State: FI
Zip Code 344 Fax:
Phone No 7- 1 -9333
E-MaiItrefeinerj@bellsouth.net
State or County License GRG1330685
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVOC i $7,5 0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Armlicable
.
N ' Raul R Vale Ila
Address: 13B E Narania Ave
CO.' t: Fort t Lurie Ff
Zi p: 34983 Phone 77-871-45T
FEE SIMPLETITLE HOLDER: Not Applicable
Name:
Address:
City:
dip. Phone:
MORTGAGE COMPANY:
Name: N id Rav(&
Address:
00
City: LaK�e r,�,nd
Zip: (1" Phone:
BONDING COMPANY:
Name:
Address:
City:
i p: _ Phone:
Not Applicable
GIt�U� 1 CiV1
plondtx A.1v,
State
W1 E Mr M
Not Applicable
OWNER/ CONTRACTOR AFFI[ IT: Application is hereby to rude obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prier 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 is in conflict with an a Iicable Home Owners
pp ssocia-�ion rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 wort
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 concurr-ency 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 a in twice for
improvements to your property. A Notice f Commencement must be re �
carded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing,,consult
rith lender or an-pttorney before corrmencinor or recording Notice C rnmencement.
f i
Signatu V
of Own er essee/Contfactor as Agent for Owner
STATE OF FLORIDA � Ll l Cl is COUNTY OF
Signature o
ontractor
STATE of FLORIDA
COUNTY OF
dense Holder
S+
Sworn to (or affirmed) and subscribed before me of sworn to (or affirmed) and subscribed before me of
Physical Presence or online Notarization Physical Presence or � Online Notarization
this day of � _ by this t'- 107o1 day of �Tl 1 �I�
- - . _�
Marne of person making ing statement. Name of person making statement.
Personally Known _ � R Produced Identification Personally Known V/
R Produced Identification
Type of Identification Type of Identification
Produced Produced
4) 4/1
(Signature of Notary Publi ' ��''I= TH MAGGART i natur of Notary Publ" i
\ ' o++..
I B rs l A BETH M ART
Commission No. � i��� �x `�� ��, Mirriiissio o � *=CorN
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RLV'IEV' S FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIE +II REVIEW REVIEW REVIEW
[SATE
RECEIVED
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