HomeMy WebLinkAboutBuilding Permit Application 06/04/2015 14:41 7724662417 SEACOAST SHEET METAL PAGE 01
ALL APPLICABLE INFO Must'BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: Permit Number: /6V
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virglnlo Avenue,Fort Pierce FSC 34982
Phone: (772)462-x.553 Fax:(772)462-1578
Commercial Residential X
PERMIT APPLICATION FOR; Mechanical
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Address: 402 N 41ST STREET
Legal Description:
Property Tax ID#i: 2408-602-0032-000-9 Lot No-
Site Plan Name- Block No.
Project Name:
Setbacks Front Bark: Right Side: Left Side:
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itionaI work to e eiforme un er t is permit--c ec all appy:
❑f HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
❑Electric Plumbing ❑Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft,of First Floor:
Cost of Construction:$ 4085.00- Utilities. Sewer Septic Building Height:
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Name ODESSA A RAN13OLPH Name: JOHN V LANGEL
Address-2006 N 35H ST Company: SEACOAST A/C
City: FORT PIERCE State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code. 34947Fax: City: FORT PIERCE State:PL
Phone No.772-332-9759 Zip Code: 34946 Fax: 466-3053
E-Mail- Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEAGOASTAIR(QAOL.GaM
from the Owner listed above) State or County License: CAGO16446
If value of construction Is$x500 or more,a RECORDED Notice of Commencement is required.
06/04/2015 14:41 7724662417 SEACOAST SHEET METAL PAGE 02
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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-
1 certify that no work or Installation has commented 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 Nome 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,wails,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER,Your failure to Record a Notice of Commencement may resul your paying twice for
improvements to youvco.;dI erty.A Notice of Commencement must be recorded d posted o the jobsite
before the first inspef you inters obtain financing,consult with lend or an attar y bef
90
commencing work orin our ice of96mmencement.
Signature;LORIDA
nerJ Lessee/Agent Signature of Con ctor/License Hoi er —
s
STATE OF STATE OF FLORIDA
COUNTY OF-TLucIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged,before me The forgoing instrument was acknowledged before me
this-�day ofy�zy 20 1 S icy this"day of Ju"E 20 /.S by
JOHN LA GELi JOHN V LANGEL
(Na e o per n acknowle Ing) (Name of s n a owiedging)
(Signature - tate of i I - (Signature f Nota bile-State of Fio da)
f S'.i h<i�•5rr i
Personally s RX,
116M49160 Personally
Type of ide t o c pDVFMtSSit7NFPt48o7a Type of Id r !.
EXP! ugu9t 30,201t1 '
EXPIRES Au
TI39Ntttst FttsriCallote 5 9u5tQ2pay8
Cammissio rv.: ee m Commissi ane+-0t
eryrySL>'rvPCe.f:om
Revised 07/15120.14
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
PATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS