HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
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Building Permit Application
Plonning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34987
Phone: (772)462-1553 Fax:(772)462-157$ Commercial Residential X
PERMITAPPLICATION FOR:
!1 11`Mechanical
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Legal Description:
Property Tax 1D fit: 1425-620-001'7-000-4 Lot No.
Site Plan Name: Block Na.
Project Name:
Setbacks Front Back: Right Side: Left Side-
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1zHVAC Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric Plumbing 05prinklers Generator Roof
Total Sq, Ft of Construction: S . Ft-of First Floor:
Cost of Construction:$ 7160.00 Utilities: Sewer Septic Building Height:^�
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Name JEANNIE MALATO Name: JOHN V LANGEL
Address:100 ARLINGTON PL#117 Company: SEACOASTA/C
City: EDWARDS State:CO es:
,,I.;.I,.II.,�ah;i,:I•,
2601 INDUSTRIAL AVE 3
Zip Code: $1632 Fax:_ City: FORT PIERCE FL
State:
Phone No.970.376-6280 Zip Code: 34946 Fax: 772-466-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIRC 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. �r
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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 priorto the issuance of a permit.
St.Lucie Countuu makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlllet with any applicable Homeowners 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,
accessary structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another nonresidential use
WARNING TO OWNE :Your failure to Record a Notice of Commencement may res It in your paying twice for
improvements to y property.A Notice of Commencement must be record and pas ed on the jobsite
before the first in ction,If y u in rid to obtain financing,consult with le r or an orne before
commencing wor r recordi o Notice of Commencement.
If I/ I. ZA WIAIV
z/vc. LlkLy . - S
SignagF
ner/Lessee/ gent Signature ofLRDAL�/
Holder
STATEIDA STATE OF�.dIJNUGIE COUNTY F
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledgedoefore me
this--L day of QVil`I 20 by this a day of JULY 20 15 by
JOH 6 JOHN V LANOEL
IN me person ac owled ' g} {Name of ers n;*ed }
+gnatu {Signature of Ivo�r Erlicw i
��ay41 4c C`Y IrCA'Y L.ANGEL � " '°� T. 'y yr
Person gyri �,�'` Personally Know '% c t{�, to
r , URCTlvtlmt` tC�YFtl�!i Y M�� 148
Type of tdentl t cl gg Type of Identifice� u
of LXorz
,
d07J 39�•U15� FlorldaNgtgry i ,Corp a„d,u � � gu
Commission Commission No. taaz>3S8-0ts3 Fioridallo ce.cpm
Revised 07/15/2014
REVIEWS FRONT ZONING, SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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