HomeMy WebLinkAboutBuilding Permit Application 08/17/2015 13:07 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST 85 COMPLETED FOR APPLICATION TO BE ACCEPTED 1.COc 0Q�
Date: f�� l 7 r > Permit Number:l`�Vo
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)4'62-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 7901 SADDLEBROOK DR
Legal Description:
Property Tax ID#: 3321-502-0010-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Orme un ert Is permit-c ec a appy:
HVAC Das Piping _5hutters L]Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 6087,00 Utilities: Sewer ESeptic Building Height:
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Name LORENZO WILLIAMS Name: JOHN V LANGEL
Address:7901 SADDLEBROOK DR Company: SEACOAST A/C
City: PT ST LUCIE _ State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34986 Fax: City: FT PILRCE State:FL
Phone No.461-6987' 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: TLSEACOASTAIR@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.
08/17/2015 13:07 7724662417 SEACOAST SHEET METAL PAGE 05
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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 TITLEHOLDER: _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.LucieCount makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In cQnilict 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,1 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 to your property,A Notice of Commencement must be record d and posted on the jabsite
before the first in ection, if yotyintend to obtain financing,consult with ie er or an attor ey be re
commencing-woV or recordin r otice of Commencement.
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Signature a wner/LesseelA .nt Signature OTC ractor/License HQ r
STATE O LORiDA STATE O tJRIDA
COUNT FSTLUCIE COUNTY OF STLVOIE
7he�Fdr ing instru nt s cknowledge fore me The forgoing instrument was acknowledg More me
this_day of _ this n day of AUG ZO
JOIN V LAN IQI•IN V LANGEL
(Na f person ackn ledging) (Name of per ack ledging)
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(sig' tura o ota ub I - orida} (Signature of Notary Iic-St f Florida)
Per. n x Produced identification Personally Know x roduced identification
Type of I itification Produced Type of Identificatio
Commis o�j�O �R;•,.� TRAGv�itw p,_,t��gl„ Co .tiizis�6o r l o°I'RAOY KAY L.ANGE ea I)
j " MyTQMMIS'5iC1NVFF14807'�
!� MY COMMi$8(ON#FFi48072 ' EXPIRES F�upuwat$0,2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RFVIEW
COMPLETE
INITIALS