HomeMy WebLinkAboutBuilding Permit Application 07/03/2015 09:47 7724662417 SEACOAST SHEET METAL PAGE 01
ALL APPLICABLE INFO M 5T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: 1 vV
Date: /
13uilding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34.982 Residential X
Phone:(772)462-1553 Fax: (772)462-5578 Commercial
PERMIT APPLICATION FOR: Mechanical
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Address. 3200 N A1A 0509
Legal Description:
Property Tax ID#:
1425-600-0045-000-7 Lot No,
Block No.
Site Plan Name:
Project Name:
Setbacks Front_ Back: Right Side: Left side:
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Iona wor to e e orme on er is perm) —G ec a app y:
YHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
0 Electric L1 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ � a� �— Utilities: Sewer L1 Septic Building Height:
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Name ROBERT NELSON Name: JOHN V LANGEL
Address:3200 N Al #509 Company: SEACOAST A1C
City:
FORT PIERCE State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34949 Fax, City: FORT PIERCE State:FL
Phone No.
954-298-4415 Zip Code: 34846 Fax: 772466-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page{if different E-Mail: TL,5E,ACOA5TAIR@A0L.00M
from the owner listed above}
State or County License: CAC016446
if value of construction is$2500 or more,2 RECORDED Notice of Commencement Is required.
07/03/2015 03:47 77246624l7 SEACOAST SHEET METAL
PAGE 02
DESIGNER/ENGINEEFt., Not Applica I MORTGAGE COMPANY: Not Applicable Name', Name:Address: Address.City: State: City,, State:Zip: Phone: Zip: Phone;FEE SIMPLE TITLE HOLDER: _NotApplicable BONDING COMPANY., —NotApplicable 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,e Countv makes no representation that is granting a ermit will authorize the permit holder to build thi�subject structure SWLucils in conflict with any applicable Home Owners Assoc ation rules,bylaws or and covenants that may restrict or prohibit such w ch PC 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.Lucia County Amendments,The following building permit applications are exempt from undergoing a full coricurrency review:room additions,accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses toonother non-residential use WARNING TO,OWNER:Your failure to Record a Notice of Commence t ay r suit in your paying twice for men ma improvements to your property.A Notice of Commencement must be recor d and posted on the jobsite before the first inspection.Yyou int2nd to obtain financing,consult with le der or an rnev before Signature of Owner/ see/Agenj Signature of Co actor[LiC der STATE OF FLORRg STATE OF! LORIDA COUNTY OF.sTiki5iF. COUNTY FST LUCIE 7 The fo;going Inst7ru ackno dgeci_before me The forgoing instrument was acknowledged before me 20 JULY this ). day 20 1�2_by this day of by(SikMelwof No.44 Personally Know RIP 1090"Am9m Personally Kn Type of Identil'i C64 A Typo of Identifica COMMI55i0r)N Rot NCM E10f1da Commission Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS