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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO SE ACCEPTED Date:- 7_? _ll Permit Number: ........... Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, clotT Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMITAPPLICATION FOR: Mechanical `�i 0 'ILI' Address: 4613sun$et blvd Legal Description: Property Tax ID#: 3402-608-009f-000,7 Lot No. Site Plan Name.Is�ola_too 2—o 6) -a — Block No. Project Name: Setbacks Front Back; Right Side: Left Side: I Will LIKE FOR LIKE CHANGEOUT 2TON 14 SEER 10 KW Aaclitionalworktobenertormed Under this permit—check all apply: RJHVAC Gas Tank Das Piping Shutters L1 Windows/Doors llElectric Plumbing DSprinklers Generator Roof Total Sq.Ft of Construction-, Scl, Ft.of First Floor: Cost of Construction: 4079.00 Utilities:[]Sewer Septic Building Height: wq" ff Name GARY CLEMMER Name- JOHN V LANGEL Address,4613 SUNSET BLVD Company-, SEACOAST AJC City: FT PIERCE State, Address- 2601 INDUSTRIAL AVE 3 Zip Code: 34982 Fax City: FT PIERCE State:FL Phone No,708-0871 Zip Code: 34946 Fax- 466-�3053 E-Mail: Phone No. 466-2400 Fill in fee simple Title Holder on next page(if different E-Mail: TLSEAGOASTAIR@AOL.COM from the Owner listed above) State or County License: CAC016446 If value of construction Is$200 or more,a RECORDED Notice of Corvimencement Is required. ce 39VC4 _lV13W 133HS 1SVooV3S Ttlz99tl*z))_ /_-9:9T' GIOZILOIL@ Name: Name: Address: Address: City: State. City; State: Zip-—Phone: Zip:— ,Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: N .-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. - 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 y, 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 r sett in your paying twice for improvements to6yoFir property. A Notice of Commencement must be recor d and posted on the jobsite 'or c before the first ins (tion. I ycfi intend to obtain financing,consult with I der or an attorney fore pornmencing wor r record nlyc4r lice of Comm ncement. /J4 Signature dAf ner/Lessee- t signature of ctor License der k STATE OF/ RIDA STATE OF RIDA COU;YTW/F!9rL(ucirz COUNTY C STLUCIS The going ins um t ackn wledMgedore me The forgoing instrument was acknowledg me this of D ,s day of 0 this.L—day of UL*, .20 by JOHN V LANCEL rson aSknowl d ing) e g (Nam p on acknowledging atu e tart' ublic-, to of Flor! u Ic- t ot F ITI-OTT---------- Persona oduced Identification Per it roduced Identification Type of{dent ro T iicaW duced 7 fa t"'SUR Commission No, .`.i ;Omaa� Co N Co., (Seal) 4f), "U'k Revised 07/15/2014 ��dria° sr3©fir¢of �ar$�s°,�r@ �,a$2 REVIEWS FRONT ZONING SUP PLANS VEGETATION S5 TURTLE MANGROVE COUNTER mtvlr_vv KtVlt;VV REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 0 39Vd _1V13W 133HS 1SVooV3S ' L5:5T 910z/ ­ /0/_0