HomeMy WebLinkAboutBuilding Permit Application 67/17/2015 15:32 7724662417 SEACOAST SHEET METAL PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
_, 0
RECEIVED
Building Permit Application JUL 0 2015
Planning and Development Services
Building and Code Regulation Division PERMI?i ii.'IG
2300 Virginia Avenue,Fort Pierce FL 34.982 Residell'tl8$tnLucie CcurC .
Phone:(772)462-1553 Fax:(772)462-1579
Commercial �_
PERMIT APPLICATION FOR' Mechanical
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Address: 5617 SUN POINTE DRIVE
Legal Descdptlon:
PrapertyTax 117#:
1312-501-0052-000-5 Lot No..
Block No.
Site Plan Name:
Project Name:
Setbacks Front_— Bark: Right Side: Left Side:
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OHVAC L,�Gas Tank Gas Piping Shutters O Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator L1 Roof
Total Sq. Ft of Constructlon: S Ft.of First Floor:
Cost of Construction:$
Utilities:'n Sewer 11 Septic Building height:
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Name ELIZABETH DIERS Name: JOHN V LANGEL
Address:
6128 SANTA MARGARITO DRIVE Company: SEA COAST AIC
City:
FT PIRICE State_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 Fax: City: FT PIERCE State:FL
Phone No.418-0415
Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 466-2400
�
Fill in fee simple"title Holder on next page('f different E-Mail-, TLSEACOASTAIR@AOL.GOMCAC016446
from the Owner listed above) State or County License:
If value of constroctlon Is$2500 or more,a RECORDED Notice of Commencement is required.
07/17/2015 15'32 77246624l7
. SEACOAST SHEET METAL PAGE 04
DESIS NER/ENGI NEER' Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City. State: CityState:
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 commented prior to the issuance of a permit.
St.��cie Countr makes no representation that is granting a permit will authorize the permit holder to build the subjectstructure
whic is in con lict with any applicable Home Owners Association rules,bylaws or ana covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Assoclation 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 cQncurrency review�room additlons,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWIdR:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t ur proper .A Notice of Commencement must be rec9rded and posted on the jobsite
before the first r' pection,If U,,irtend to obtain financing,consult wi der or a torney before
commencing or rpCo' &44ur Notice of Commencement, yen V, -1 /7
Signature QKontractor/Licen
Sig' r of Owner/Less Agent Holder
ST OF FLO... STAT F FLORIDA
UK
7
C NTY OF ST LUCIE CO TY OF IT LUQM
Th(r4oing in U knowledge me The forgoing instrument was acknowledged me
JOHN V JOHN V LAN
�tg
Personally no —OR Produced identification so ally Kri o wn roduced Identi I
r P,17.n— uc� on Produced
Type of ld�. I'cation Produced ype
Commission No N Q'I (Sea[)
18 '30
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMILITI
INITIALS L —1