HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLF INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 Permit Number:
RECE1'.'°�D AUG 0 67nb
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Building Permit Application
Planning and Development Services
Building and Code Regulation Dlvislon
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 5616 SUN VALLEY DRIVE
Legal Description:
Property Tax ID#: 1312-501-0071-000-7 Lot No.—
Site
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Site Plan Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
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( (onal woi nPd un er Is permit—cheek all appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
0Electric I=J Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First I=1oor:
Cost of Construction:$ 4988.00 Utilities Sewer Septic Building Height:
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Name PAUL SMALL Name' JQHN V LANGEL
Address:PO BOX 3534 Company: SEACOAST AIC
City: FORT PIERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34048 Fax: City: FORT PIERCE _State:.FL
Phone No.561-207-1820 Zip Code: 34946 Fax: 7724663053
E-mail: Phone No. 7724662400
Fill In fee simple Title Holder on next page(if different E-Mail: TL$EACOASTAIR@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.
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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 prior to the issuance of a permit.
St.Lucie County makes no representation that is granting aarmit will authorize the permit holder to build the subjectstructure
which is in conflict with any applicable Home owners AssocUlon 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 additions,
room a I ]a
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to, ther ricin-residential use
WARNING TO NER:Your lure to Record a Notice of Commencement may suit in your paying twice for
co
improvement /VO your prop y,A Nae of Commencement must be reco ed and poste n�#j�b
Your
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Irefore the flirs i ion. with der or an att7ne
b pect, you yid to obtain financing,consult w i
commencin Yk or rec inglycil YRotice of Commencement. Jr
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signat Of Owner/ ss /Agent Signature 0 rac'o'/"con7
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The oing instru e a a n ledgedb!�ore me The forgoing instrument was acknowledged Ye re—me
this day of 20 this I day of Aur-usT 20 V
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JolgeLANGIRL' ........... LANGEL
am of person ackno gin (Name of pers :r owledging)
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Type of Id n' -arod Type c I r
(4071 3W.01 P, MY COMMiSSION#FF1 4
Commission No. (Seal) Com
I RF:$AUgust 30,2018
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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