HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE NFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Fierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XM
PERMIT APPLICATION FOR: Mechanical
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Address: 5604 PALED PINES CIRCLE
Legal Description:
Property Tax ID#: 1312-500-0040-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional worK to � orme un er Is pemt—Check a appy:
ZHVAC sTank
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11Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing 05prini lens Generator Roof
Total Sq.Ft of Construction: S Ft.of Fimt{{Fllo�oor.
Cost of Construction:$ 6644 Utilities:[]Sewer[]Septic Building Height:
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Name RICHARD REIFF Name: JOHN V LANGEL
Address:5604 PALED PINES CIR Company. SEACOAST PJC
City: FT PIERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City: FT PIERCE State:FL
Phone No.772-466-9688 Zip Code: 34946 Fax: 465-3053
E-Mail, Phone No. 456-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIRLAOL.COM
from the Owner listed above) State or County License: GACO16446
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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DESIGNER/ENGIN MpRTGAGE PANY: Not Applicable
Name:
Name —
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:MO.— Zip: Phone:
I certify that no work or Installation has commenced prior to theissuanceof a permit.
St.Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure i
which is n 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 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the firSOnspection, If you intend to obtain financing, consult with lender or an attorney before
-Lommencing Work or recording,yaur Notice of Commencement.
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Signafu of Owner/LAsee/Agent Signature of ntractor Lice_e' Holder
u Signature
LORI
STAT OF FLORiDPI STATE FLORIDA
COUNTY OF-Ewan COUNTY OF,
The oing instrurrik nowledge fore-me The forgoing Instrument was acknowledged k&qe me
oil
this)!fd ay of L_J�17V 20 lsfyorl! this " day of lurf 20 _iJ4
JOHN V LANG.Ei� _,--) JOHN V LANGEL
(Na 4, " on ack ging) (Mame er n acknot edging)
(Signa ary Publi to of Florida)
Personally Known x .,*Kproduced Identification Pers Produced identification
Type of Identification Produced Ty 0 -ti oduced
Commission No. (Sea]) Comm Nq;�tL es- iii. (Seal)
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Revised 07/15/ "V
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REVIEWS FRONT ZONI # R PLANS VEGETATION 9R �E% e�RTLE FMANGROVE
v 71
COUNTER REVIEW I REVIEW REVIEW EVIEW REVIEW
DATE
COMPLETE
INITIALS
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