HomeMy WebLinkAboutBuilding Permit Application 06/12/2015 08:23 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST Be COMPLETED FOR APPLICATION TO BE ACCEPTED G S40
Date: Permit Number: I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1.553 Fax: (772)462-1578 Commercial Residential xm
PERMIT APPLICATION FOR: Mechanical
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Address: 8912 champions way
Legal Description:
PropertyTax ID#: 3334••501-0067-000-0 Lot No.�
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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—Additional work to beDel orrne un er is per nt—c et a app Y.
HVAC L.J Gas Tank Das PipingShutters Windows/Doors
❑ _Electric Plumbing Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 4964.00 Utilities: Septic Building Height:
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Name ELIZABETH MARUCCI Name: JOHN V LANGEL
Address:8912 CHAMPIONS WAY Company: SEA COAST A/C
City; PT$T LUCIE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34986 Fax: City: FT PIERCE State:FL
Phone No,315-271-9869 Zip Code: 34946 Fax: 466-3053
E-mail- Phone No. 466-240
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CACO16446
If value of construction is$zsuo or more,a RECORDED Notice cf Commencement 15 required.
06/12/2015 Oe:23 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 certify that 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 w th 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 pians,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:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your roperty.A Notice of Commencement must be recorde and posted on the jabsite
before the first inspe on. if yv intend to obtain financing,consult with len r or an ttorney before
commencingwork
,yon.
our Notice of Commencement.
_-�vs
_signature of V911CDA
r/Lessee/Ag t Signature of Co ractoWcen Folder
STATE OF FL STATE OF FLORIDA
COUNTY OF COUNTY OF
The b/.Voing instl}n$ryfi acknowledged I a me The forgoing instrument was acknowledgecllk2fore me
this=' day tJ 1 1`� 20 __{by this 12 day of JUNE .20 /_J by
JOHN V LL JOHN V LANGEL
(Name f p rs acknowle n (Name of per cknowl ng)
(Si re lic-Sta a (Signature of No u I c-State _ _
Personally Known x OR duced Identification_ Personally Known OR Produced identification
Type of identification Produced ! Type of Identification Produced
Commission No, N' P^'•. '
.7�lAQYe •rQer�a unv LANG
Com i�9
j•t MY Comm' 5tCt�at 30 2018 j� 1•�+�
MY commiSSION*FF14807"2
''"►'e ",� gtrrrldaNnta 9arvlce,aam .?oFM1,:+' '
Revised 07/1.5/20 an 3se.01g3 3911-01
•�•� tao�153 ;"Ior(uONnta svtne,aom
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS