HomeMy WebLinkAboutBuilding Permit Application 06/09/2015 15:31 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' �o• • ( �_ 1 Permit Number:
RECEIVED
Building Permit Application JUN -9 2015
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: 2927 Sherwood lane
Legal Description:
Property Tax ID#: 2421-701-00?-000-0 Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
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Additionalwon to e e orme un er t is permit—check a app y:
HVAC �Gas Tank
_,permit
Piping _Shutters E Windows/Doors
EElectric ❑ Plumbing ❑Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3750.00 Utilities:-Sewer LJ Septic Building Height:
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Name ROSEMARIE ORTIZ Name: JOHN V LANGCL
Address:2827 SHERWOOD LANE Company: SEA COAST AIC
City, FT PIERCE State:_ Address: 2601 INDUSTRIAL AVE,3
Zip Code: 34982 Fax: City: FT PIERCE State:Fl,
Phone No.772-267-0006 Zip Code: 34946 Fax: 4663053
E-Mail• . Phone No. 4$6-?400
Fill in fee simple Title Holder on next page(if different E-Mall: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
IF value of construction is$2500 or more,a RECORDED Native of Commencement is required.
06/09/2015 15:31 7724662417 SEACOAST SHEET METAL PAGE 04
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 pricirto 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 coRict with any appl[calole 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 gr2riting 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 concurrencv 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 ult, g twice for
improvements to roperty. A,44otice of Commencement must be rec p
before the first injsyeic�til'o'n. if You Aftend Jo obtain financing,consult with nderoran mey b fore
or
commencing wor or record ing)(ofu wN office of Commencement.
/im V
Signature of 0 er/Lessee/Agen/ Signature of1c tractorNicense, Ider
'0/ . F7� 7
COUNTY STILILICIF COUNTY F-STLucir
The ing ins n ledgeA 150�re me The forgoing instrument was acknowledge re me
this day of this 9 day of JUNE 15 !,
Na e erson ac owledging (Name orrnowledging.
PersQ Illy Known x VP Personally ?I1II4M13EWi in
Type o dentif ion RAO Type of Idi rhI&PAMM19SION OF 14807-*
MyCI0MMJ86IQN#-f1F1I4E1u7z EXPIRES August at),201 a
Commission No. expirmAuguat 30.20113 commissic SO&IL—Biagocialysarvick1W)
I L41371 39N.015;
Revi9cd 07/15/201.4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TUR-rLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIA