HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONOct, 18. 2018 _11: 49AM
No.0379 P. 1
r ATV
I Planning and Development
(landing and Code Regulat)
2300 Virglnla Avenue, Fort
Phone, (772) 462-1553
SY BE COMPLETED FOR APPLICATION TO BE ACCEPTED
permit Number; m tj a�O
RECEIVED
Building Permit Application OCT 18.2018
rvIces ST. Lucie County, Permitting
Divislon -- -
rce FL 34982
x: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR, Mechanical
Address: r5 1� 5
Legal Description:_
aG k div
W
Property Tax ID
Site Plan Name,,I
Project Name: tp .Ic r 0 rM
Setbacks Front Back: Right Side: ^ Left Slde;
LIKE FOR LIKE I
i
Itional work o Ofele ormed-- under this permit - ci
F✓ NVAC - as Tank [:]Gas Pipin5
UElectric luml
Total 5q. Ft of ConstructloA:
Cost of Constructloh: $
g ❑Sprinklers
:l
U
Lot No,
Block No. __r
all apply.
Shutters Windows/boars
EiGenerator Roof Roof pitch
5 Ft. of First Floor: _
Utilities: Sewer Septic
Name /i01 WaI-P�
Address: s� ��' E-IA)—Y%D
City: ipS _ State; t&
Zip Code; yq �' —r Fax; n
Phone No. —
Wail;,
Fill in fee simple Title Hof er an next page ( if different
from the Owner listed ab�ve)
Building Height:, _
Name: CHRIS LANGl=L
Company: SFA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-40.-3053
Phone No, 772-466-2400
E-Mall: INFO@SEACOASTAlfR.COM
State or County License, CMC035421
If value of construction is $2 00 or more, a RECORDED Notice of Commencement Is required.
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Oct, 18. 2018 11:49AM No. 0379 P. 2
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DESIGNER/ENGI NEER. Not Applicable
MORTGAGE COMPANY: NotApplicable
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City: State:
-city-, State:.
/
/ Phone:
FEE SIMPLE TITLEHOLDER: \ / / • /
BONDING COMPANY; / Applicable
Name:
Narne:
Address: /
Address,
City:
city;
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I certify that no work or installation has commenced prior to the Issuance of a permit.
;t. Lucie County makes no representation that is granting a permlt wlll authorize the permit holder to build the subject structure
vhlch Is in contlictwith any applicable Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
;tructure. Please consult with your Home Owners Association and review your deed for any restrictions which may. apply.
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
n accordance with the approved plans, the Florida Building Codes and St. Lucle County Amendments.
Fhe following building permit applications are exempt from undergoing a full concurrency review: room addltlons,
►ccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
AIARNING TO OWNER., Your failure to Record a Notice of Commencement may result in your paying twice for
mprovements 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
:ommencin work or recording our Notice of Commencement.
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s
ilanature of Owner/LesseelContractor gent for Owner Signature of Contractor/License Holder
ATE OF FLORIDA
)LINTY OFULucIE
The for ping instrument was acknowledged before me
thls�dayof DG�61R/ , 20 1`�by
CHRIS LAiVGEL --
(Name of person acknowledging)
ature of Notary Public-
rsonally Known K_--__ OR Produced Identification
ae of Identiflcatlon Pro
n No. FF941411
Revised 07/15/2014
My�ISSIQN q FF A4t41 i
5X December 0, 2010
oapdedThiu NotaryPupQoundelwdlels
STATE OF FLORIDA
COUNTY OF BTLucIE
The forgoing instrumentwasacknowledged before me
this J'day of I(X d&_ , 20 / F-6y
CHRIS LA14GEL
(Name of person acknowledging)
(56nature of Notary Public- State of Florida)
Personally Known x OR Produced Identification
Type of Identific�FFI?414
on Pr
Commission No. l' XMVIINA y N�fi
MYaoMI7 �FFa41811
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