HomeMy WebLinkAboutBuilding Permit Application 07/02/2015 12:40 7724662417 SEACOAST SHEET METAL PAGE 03 "
ALL APPLICABLE INFOl111UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �� t/�
Date: r J / ._ r Permit Number: X00 `x'
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone; (772)462-1553 Fax:(772)4.62-1579 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 10330 S OCEAN DR
Legal Description:
Property Tax ID#: 4511-110-0001-000-6 Lot No.—
Site
o. ___Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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itional wor oorme un er is permit—check a appy:
HVAC ---- Gas Tank Gas Piping _Shutters Windows/Doors
Electric IJ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 7129'00 Utllities:n Sewer[]Septic Septic Building Height:
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Name STANLEY WAMPLER Name: JOHN V LANGEL
Address:103$0 S OCEAN OR Company: SEACOAST A/C
City_ JENSEN BEACH State:FL Address: 2501 INDUSTRIAL AVE 3
Zip Code: 34957 Fax: City; FORT PIERCEState FL
Phone No.772-342-0600 Zip Code; 54946 Fa,; 72-466-3053
E-Mail: Phone No. 772-466-2400
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: CAC016446
If value of construction is$2500 or more,a RECORDED Notice of commencement 15 required_
07/02/2015 12:40 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 Counter 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,wails,signs,screen rooms and accessory uses to another non-residentiai use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvementsto/our property.A Notice of Commencement must be recorded and posted on the jobsite
before the first i petition. If ou intend to obtain financing,consult with fen r or an attorney before
commencin w . or recor voisr Notice of Commencement.
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_Signature wner/Les P11
gent signature of Co ctor/License H der
STATE O FLORIDA STATE OF ORiDA
COUN OFSTLUCIE COUNTYOFsrzuel
The forgg'Ing instru nt was acknowledg efore me The forgoing instrument was acknowledged before me
n
this ` day of 7TI`/ 20 W by this IND day of 1"y 20 by
JOH V LANGE JOHN V EL
(N/a a person ac edging) ( e ofperson acknow g}
gna �+„h (sr ur N to Pubii tate o }
e ' ” '� TRACY KAY LANGEL
Person n u Fl A�fi41��11 9 i lttt�fh Perso ally Kr .” 411rdlEliai�l
Type of Identi c u Type esti Prr7dplped� AI44,0�1 xer
(app)398.Ot91 KIcritlakote ery e,ccm ','•'yo*-r�,.: EXPIRES Augu 30 2018
Commission No, CommisSi n 9 Natarya-DiK,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS