HomeMy WebLinkAboutBuilding Permit Application 08/05/2015 08:47 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: () _.5 — 15 Permit Number:
Building Kermit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)1462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 12920 ORANGE AVE
Legal Description:
PropertyTax ID#: 2308-211-0001-000-6 Lot No,
Site Plan Name: _ Block No.
Project Name:
Setbacks Front __ Back: Right Side:_.__. Left Side:
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Aciclitionalworl(TOliffrformed under tis permit—cnecK all appy:
12]HVAC Gas Tank 7Gas Piping _Shutters Windows/Doors
11 Electric ❑Plumbing []Sprinklers 0-Generator Roof
Total Sq. Ft of Construction, SFt.of First Floor:
Cost of Construction:$ 6778,00 Utilities:t Sewer Septic Building Height:
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Name JOHN WIGGAM Name: JOHN V LANGLL
Address;12920 GRANGE AVE Company: SEACOASTAIC
City: FORT PIERCE State: Address, 2601 INDUSTRIAL AVE 3
Zip Code: 34945 Fax: City: FORT PfERCE State:PL
Phone No.772-801-5772 Zip Code: 34946 Fax: 7724663053
E-Mail: Phone No. 7724662400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIRQAOL.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.
ILL—
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08/05/2015 08:47 7724662417 SEACOAST SHEET METAL PAGE 03
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` DESIGN ER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State,
Zip: Phone: Zi p: 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 prior to the issuance of a permit.
St.Lucie Count�makes no representation that is grantinga ermit will authorize the permit holder to build the subject structure
which is in con I ict with any ap plicable Home Owners AssoppIlon rules,bylaws or Q covenants that magestrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions ,h may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in 211 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
im to your property.A Notice of Commencement must be recorded and posted on the jobsite
beForrolievlirlsslt inspe . you intend to obtain financing,consult lender or an attorne before
nv _y2ur.Notice of Commencement.
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9 Si ature of Ow�e e s ASOA g'Ll,n t SignaTre ontractor/ cens older
1 '7
- TE OF FLORI STA47F FLORIDA L
The cling instrumept w k owledged b fore me The forgoing instrument was acknowledgepefore me
this IV day of 11 20 .&Iby this STH day of AIJOUBT 20 )v by
(Na on acknowled#gj (Na
rn�n acknowledging)
Personally K SPI gn% F,4 Personally Kn
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU RTLE MANGROVE
COUNT EVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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