HomeMy WebLinkAboutBuilding Permit Application 06/16/2015 07:43 7724662417 SEACOAST SHEET METAL PAGE 03
ION TO 13
TED
ALL APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATPermit Number:
Date: RECEIVE =_
JUN 16 2
Building
Permit Application
Planning and Development 5ervices
Building and Code Regi ldiron Division Residential
2300 Virginla/lvenue,FortPierce77z 4�62�1578 Commercial ���
Phone:(772)462-1553 Fax:( )
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PERMIT APPLICATION
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Address: 3342 COLUMSRINA C1R
Legal Description:
Lot No.____�
Property Tax ID M. 3425-703-0032-000-5 Block No.�r
Site Plan Name:
Project Name: ght Side: Left Side:
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HVAC Gas Tank []Gas Piping
Generator Roof
1-1 Electric Plumbing Sprinklers
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tpt of First Floor:
Total Sq. Ft of Construction:Cost nstruction.,$ 4520-00 UtilitieSewer LSI Septic Building Height:r�
of Construction., Ir 11 IMru
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JOHN V LANGEL
NameANTHONY If LYNDA DECOSMO Name:
1941 SE CAMDEN STREET Company: SEA COAST A/C
Address: 2601 INDUSTRIAL.AVE 3
City: PT ST LUCIE State; Address;
City: FT PIERCE State:FL
Zip Code: 34952 Fax: 34946 Fax: 466-3053
Phone No.333-2625 zip Code:
E-Mail:
Phone No. 466-2400
Fill In fee simple Title Holder en next page(if different E-Mail: TLSEACOASTAIR@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.
06/16/2015 07:43 7724662417
SEACOAST SHEET METAL PAGE 04
;'�itiu ldlt 1t �i' t'} ,t !t r`�'�( � t �&f1t �(tj���'tt�>jaj,��Q1� �r�u 7i a,'it '.l ! �' {71 t if�'�I�i1t},' 1�1i1�E�ily('� i' ''t 4"I(1rj�'fM l�iI'�ij},^�yt�fii��riti•}�rj�f��t'di��{;tI�u:i';i;;rllltliittt)l;�iL�'i,"�„i''„;f�i';,i�'s,r,�
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 Count+ makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is to 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 y r property.A Notice of Commencement must be recorded and posted on the jobsite
before the first in ection. if y u intend to obtain financing,'consult with len er or an ttorney before
commencln wo r recordi a r Notice of Commencement. l
Alt I Y s
Signatur Owner/Less gent Signature of70RIDA
attar/Lice Holder
STATE FLORIDA STATE OF
COUNTY OF sT l,uGE COUNTY OF sT weir
The r Ing instrurrSen owiedge th
re e The forgoing instrument was acknowled efore me
thlyday of 24 this 18 day of JuNe 20 by
JOHN V L JOHN V LANGEL
e of p ackno dging) T(Napersonfackndging
(Si - a e of Florida) o ary blic-State of Florida)
Personally Known X _ OR Produced identification Per Known X OR Pro ced Identification
Type of identification
Produced Type of Identification
,
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CO missi •"°t ,s, T Y KA l +13EL Com issi nW .
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My COMMISSION*1ttF
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REVIEWS FRONT ZONING SUPERVISOR PLANS VFGETATICIN SEA TURTLE MANGROVi=
COUNTER REVIEW Ri:VIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS