HomeMy WebLinkAboutBuilding Permit Application 07/13/2015 07:30 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO RE ACCEPTED
Date: Permit Number: 1. SO10
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Building
Permit Application
Planning and Development Services
Building and code Regulorion Divislon
2300 Virginia Avenue,Fort Pierce FL 34982 Residential x
Phone: (772)462-1553 Fax: (772)462-1575 Commercial
PERMIT APPLICATION FOR: Mechanical
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Address_ 11685 twin Creeks Drive
Legal Description:
Property Tax ID#: 2333-601-0015-101-5 Lot No. _
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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M�ona worko (�e� arme un ert ispermit—c ec a appy:
ZH1- C IJ Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing I 15prinklers 0 Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6983.00 Utilities:Sewer Septic Building Height:
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Name PATRICK MERRYMAN Name, JOHN V LANGEL
Address:11685 TWIN CREEKS DRiVE Company: SEACOAST AIC
City; FT PIERCE State: Address: FT PIERCE
Zip Code: 34945 Fax: City: FT PIERCE State:FL
Phone No.772-618-0483 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: TL5EAC0ASTAIR@A0L.,C0M
from the Owner listed above) State or County License: CAC016446
If value of construction 15$x500 or more,a RECOROW Notice of Commencement is required.
07/13/2015 07:30 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: -Y 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.LucieCounty makes no representation that is granting a ermit 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,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t your property.A Notice of Commencement must be Coreded and posted on the jobsite
before the first ' spection. If you intend to obtain financing,consult with nder or an attorney before
commencing w rk or rec din our Notice of Commencement.
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_signaVFF'LORI
Owner/L see/Agent Signature of tractor/Lie se Hold r
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STATED STATE O FLORIDA
COUNTY OF STLucls COUNTY OFsrLucle
The ing instrument wa a awle ged re me The forgoing instrument was acknowledg a are me
this!day of 20 this '3 day of July 20 by
JoH^ OELL J014N V LANGEL
(N pf per n knowledging) (Name of p n ackno ging)
(Zrn
(Signr1lown
ary Pu -State of Florida) (Signature of otary blic-State Florida - -
Persox OR Produced Identification Personally Know OR Produced identification
Type of Identification Produced Ty y� /� V
LANGEL
CommissionA{ I N(,II�L Go En sn[fid. AISSIaN#>^F7ne0j�5 al)
tS'pA bpi tea. T i '�� t 9 e1' ,,
COMMISSION-•FFt 4,8072 �,� °, fXpIFtE3 l�ugu9t 30,2019
. �% EXPiT;F_;l�u9i is (401)Nb.,
Revised 07 S:)` Flotldallota seNice.com
(4gg.0153
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
JI
COMPLETE
INITIALS