HomeMy WebLinkAboutBuilding Permit Application 05/22/2015 07:00 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:TlS�S _7
•
Building Permit Application
Planning and 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
PERMIT APPLICATION FOR: Mechanical
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Address: 3805 PROMENADE WAY
Legal Description:
Property Tax ID#I: 2433-502-0041-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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r lona wor to Orme under t Is permit—c ec a appy: Ll
✓❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: SFt• of First Floor:
Cost of Construction:$ 3903-00 Utilities:'nSewer Septic Building Height:
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Name LAURA HANKE Name: JOHN V LANGEL
Address:3805 PROMENADE WAY Company: SEA COAST A/C
City: FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No.772-528-3444 Zip Code: 34946 Fax: 466-3053
E-mail: Phone No, 466-2400
Fill in fee simple Title Holder on next page( if different E-Mail: TLSEACOASTAlR@AOL.COM
from the owner listed above) State or County License: CAC016446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
05/22/2015 07:00 7724662417 SEACOAST SHEET METAL PAGE 04
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DESIGNER ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER. _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: _ -- — City:
Zip: Phone: Zip: Phone:
I certifythat no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWN R: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to y r property. A Notice of Commencement must be recorded and posted on the jobsite
before the first ins ection. If you intend to obtain financing,consult wi lender or an attorney before
commencingwor r recordiyi&yovr Notice of Commencement.
41�LYAA a S
_Signatur9F$T1_UC1P
ner/Lesse Agent Signature ontractor/ ' nse Hol er
STATE OIDA STATE OF FLORIDA
COUNTY COUNTY OF aT LUCI
Th ing instr a acknowledge fore me The forgoing instrument was acknowledged before me
tay of this"day of MAY 20 by
JOHN V JOHN V LANG
(Nam person acknowl ging) (Name o e cknowledging)
(SM5,ature o Ic-sta e f Flarida) (Signature of No ar -State of Flo a)
Personally now OR used Identification Personalty Know x OR Produce entification
Type of Ide cation Produced Type of Identifi at Pr duced
Commission No. (Seal) Commission No. (Seal)
A '\
Revise �'� �14NAGY KAY I.ANGEL r l' MY COMMISSION #FF148o72
t149072 oar ti (EXPIRES August 30, 2018
St 30, 2 1 B (a07)398.0133 ori
REVIEW j ?, OI�QpIR os co 5U ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
(ao� tori a VIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS