HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number. L)
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Building Permit Application
Planning rind Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PE=RMIT APPLICATION FOR: Mechanical
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Address: 8307 KENWOOD RD
Legal Description:
Property Tax ID#:
1301-605-0319-000-3 Lot No. -
Block No.
Site Plan Name,
Project Name:
Setbacks Front— Back: Right Side:,"Left Side:
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like for like change out IS ton 16seer 10 kw
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MVAC Gas Tank 0GaS Piping _Shutters Windows/Qoors
Electric Q Plumbing Sprinklers 0 Generator Roof
Total Sq.Ft of Construction: S Ft,of First Floor:
Cost of Construction:$ 5294.00 Utilities;Sewer ElSeptic Building Height:
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DARLENE GORDON EVERETT IRVING Name: JOHN V(ANGEL
Name SEA COAST AIG
Address:8307 KENWOOD ROAD Company:
FT.PIERCE FL State:, Address: 2601 INDUSTRIAL AV 3
Zip Code:
City. 4951 Fax: City: FT PIERCS State;FL Phone No.772-332-8472 Zip Code: 34946 Fax: 466-3053
Phone No. 466-2400
E-Mail; TLSE,gCQASTAIR�AOL.COM
Fill in fee simple Title Holder on next page(if different E-Mail: CAC016446
from the Owner listed above) State or County License:
If value of construction is 52So0 or more,a RECORDED Notice of Commencement Is required.
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DESIGNER/ENGINEER: ^Not Applicable
Name, MORTGAGE COMPANY: Not Applicable
Name:
Address: Address:
City: State; City: -State:
Zip: Phone: Zip:_Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: ,..Not Applicable
Name: Name;
Addre5s: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association 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 work
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,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER,,Aur failure to Record a Notice of Commencement may result in your paying twice for
improvements to yourffroperty.A Notice of Commencement must be recprded and posted on the jobsite
before the first 1nspe on If you Jqtend t9 obtain financing,consult witender or an attorn before
commencing WC rwc�rcllna vArAotNe of Commencement.
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Signature of r/Lessee/Agee Signator ntractor/11cen Holder k
STATE OF F IDA STATE FLORIDA
COUNTY WCE COON OFST LUCIE
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The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20 —by this3, ' day of APRIL —20 b
J014NALANGEL-L J014N V LANQLj5_,
(Na of pe on ac (Name of ers n ac nowledg!
(Signature? o'fary PWlic-state of Florida) natuy,16f Nota lit-state o I - tp
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of identification Produced
Commission Na. (Seal) Comm.....
PRA LAN
TRACY KAY LAINGEL ION#FF148072
COMMISSION i K"A Y C ISSIO
0
'P 51 30 2
MY COMMISSION*FF1 48072 a
August 30,2018
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W,1' OW01602"guk 30,201a (4 RR!,dil 4
REVIEWS FRONT ZONING « SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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00 39Vd _1V_L3W 133HS ISVOOV3S
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