HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, Permit Number: I IL
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue,Port Pierce FL 34982 Residential X
Phone; (772)462-1553 Fax. (772)462-1579 Cornmerd
PERMIT APPLICATION FOR: Mechanical
I 'IAROOM
Address: 7405 OCALA AVE
Legal Description:
Property Tax 1D#: 1302-0110-0060-000-5 Lot No,
Site Plan Name; Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
"1 4!
LIKE FOR LIKE CHANGE OUT 3 TON 16 SEER 10 KW
Additional work to 0 rrormed unclerthis permit—c
cheCK all apply,
ZHVAC Gas Tank 7Gas Piping Shutters L3 Windows/Doors
11 Electric Plumbing ElSprinklers Generator LD Roof
Total Sq, Ft of Construction: Sq. Ft- of First Floor:
Cost of Construction:$ 5187.00 Utilities:[]Sewer FISeptic Building Height,
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Name TERRY I JULIE LANGE Name: JOHN V LANGEL
Address!7405 OCALA AVE Company,. SEA COAST AIC
FT PIERCE State: dress: 2601 INDUSTRIAL AVE 3
City:
Zip Code: 34961 Fax: City: FT PIERCE State:FL
514-3912 Zip Code: 34946 Fax: 466-3053
Phone Na.
466-2400
E-Mail: Phone No.
Fiji in fee simple Title Holder on next page(If different E-Mail: TLSF-ACOASTAIRQAOL.COM
from the owner listed above) State or County License: CA0016445
--------------------
If value of construction is$2500 or more,a RECORDED Notice of
Commencement Is required.
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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_
5t,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 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 first inspection. ify u intend to obtain financing, consult h lender or n attorney before
commencingw k or recordiXR your Notice of Commencement.
V
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_signature o wner/Lessee/ gent Signature Contractor/ is nse Holder
STATE 0 FLORIDA STAT OF FLORIDA
COUNTY OF 8T WOE COUNTY OF STLUCic
7h g mg ins (nacknowledg�d afore me The forgoing instrument was acknowledg fore me
thi day �JJ F 20 ,by this " day of 'u"c 20 by
JOHN V LAN JOHN V LANGEL
(NaMf person ackno dgl (Name of n acknowledgln
( ublic-5 (Signature of Nat Public-State of rida}
Personallynown X OR Produced Identification Personally Kn UR Produced identification
Type of Identification Produced Type of identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2414
REVIEWS FRONT [ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER EVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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