HomeMy WebLinkAboutBuilding Permit Application 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: Permit Number:
Building Permit Application
Planning and vevelopment Services
Building and Cade Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR' Mechanical
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Address: 7901 KENWOOD ROAD
Legal Description:
Property Tax ID#: 1301-605-0225-000-7 Lot No.
Site Plan Name:
Block No.
Project Name.
Setbacks Front— Back: Right Side: Left Side:_-
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R✓ HVAC ~– Gas Tank ❑Gas Piping _Shutters Cl Windows/Doors
1 I Electric U Plumbing Sprinklers 11 Generator L1 Roof
Total Sq. Ft of Construction: Scl. Ft-of First Floor:
Cost of Construction:$ 7231,00 Utilities:11 Sewer Septic Building Height:
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rNarne
l _.(i RHONDA HUDSON Name: JOHN V LANGEL
ddress:7901KENWOOD ROAD Company: SEACOAST A/C
FT PIERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip
Zip Code: 34951 Fax; City: FT PIERCE State:FL
772-466-2400 Zip Code. 84946 Fax: 466-3053
Phone No.
E-Mail: Phone No.
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 15$2500 ar 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.
St.Lucie Coun makes no representation that is granting permit will authorize the permit holder to build the subject structure
which is in conflict with an 2
1�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 consid6ration 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 T N FA:Your failure to Record a Notice of Commencement may result in your paying twice for
0 OWN
- -property/A Notice
Improvements to� I of Commencement must be recorded and posted on the jobsite
'
before the first ins ion. If yo intend to obtain financing,consult with le)ftr ora attorney before
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commencing worlor recordinA Y-ourAcitIce of Commencement.
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Signature of 0, nor/Lesseeant Signaturef Can ctor LlcenA Holder'
STATE OF FJhRIDA STATE OF ORIDA
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COUNTY 0COUNTY/F
The f instruL e (VnowledgA afore me The forgoing instrument was acknowledged before me
this e;6a
— a of 20t by this " day of JUNE .20 by
JOA,./GELl JOHN V(.ANGEL
person*nowledving) (Nameqr on acknowle Ing j
bllc--Stateof Florida
{SignatorNota {Signa ore of N ry -V—ic-St Florida I(
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I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW —REVIEW
DATE
COMPLETE
INITIALS
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