HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Ja,'\\15 T Permit Number:
iI II
RSCEIV'SD AUG 4 2015
Building Permit Application
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue,Fort Plerce FL 34.982
Phone:(772)462-1553 Fax-(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Meohaniwl
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Address: 5309 S INDIAN RIVER DRIVE
Legal Description:
Property Tax ID#: 3401--600-0010-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front�_ Back: Right Side: Left Side:
Mimi!
LIKE FOR LIKE CHAGE OUT 2 TON 14.5 SEER 5 KW
Genap
_Shutters
Windows/Doors
p
Ll Ger
ona wor e rm un ec a appy:
HVAC a Tank Cas
Piping
I ctric Plumbing Osprinklers 1:1 Generator 0 Roof
Total Sq.Ft of Construction: SCI. Ft.of First Floor:
Cost of Construction.$ W20.00 Utilities. Sewer 13 Septic Building Height-.
,Offil
Name RICHARD GREENFIELD Name: JOHN V LANGEL
Address.5309 8 INDIAN RIVER DR Company: SEA COAST AIC
City. FT PIERCEState: Address, 2601 INDUSTRIAL AVE 3
Zip Code: 34982 Fax. City. FT PIERCE State:FL
Phone No.979-3014 Zip Code: 34982 Fax, 466-3053
E-Mail. Phone No 4662400
Fill in fee simple Title Holder an next page if different E-Mal)-.TLSr-ACOASTAIR@AOL.COM
from the Owner listed above) State or County License, CAC01$446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: —Not Applicable
Name.
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.LucieCoun' l
emmake no representation that Is granting a permit will authorize ther it holder to build the subject structure
which is in conics any applicable Homeowners Association rules,bylaws or an�covenants that may.restrict or prohibit such
structure.Please consult with your Home owners Association and review your deed or 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 OW ER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t our property,A Notice of Commencement must b r rd d and posted on the jobsite
0 p be lender e
I
before the first petition. If yqu intend to obtain financing,consult1 liender or a ttorney before
commencing wvil4pclr recordIX4 yQur.Notice of Commencement. 7 11q.-
----p 5
Signaturof owner/"Sie Agent Signat r f OilLi&fi
Con 'act Holder
ITe
STATeIF FLORIDA ST E OF FLORI
COU TY OFST LUC39 C NTY OF-qTL P
T4h1!2 5biffgins u t 8r- owledg fore me The forgoing Instrument was acknow(edigticbefore me
y of 8c
t s ay of 206Y this " day of AUG 20 by
J0 CEI;L JOHN V LAN C.W�-
(wrmelof person a owledging (Na person ack led
I otary=- eo Florida) (signat o—Notary ON i�- Florlein I
0'
PersoCnay rKnown OR Produced identification Person n1K wn x OR Produced Identification
Type of identification Produced Type of Identification Produced
Commhsion
Com , I
TRACY KAY LANGEL
ON* F1 A,
I.j tAl COMMISSION*FF1 4907P
-EYPIRESAUQUW30 20
S0.
Fm 7
2 14 1 'C? . EXPIRES August 30;2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
S8 30Vd -lV13W 133HS iSVOOVEIS LTvzqqVZLL GE:TT STOZ/VZ/80.