HomeMy WebLinkAboutBuilding Permit Application 08/27/2015 09:32 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEi]
Date: Permit Number:
R EC E IV E l«le
Building Permit Application AUG 2'7 2015
Planning and Development Services
Building and Code Regularion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1.578 Commercial Residential X
PERMIT APPLICATION FOR, Mechanical
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Address: 116 ONEiDA WAY(TALL PINES MOBILE HOME PARK)
Legal Description:
Property Tax ID#: 1433-210-0003-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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II gond wor to e e ormed under Ns permit—criecRall apply:
Ir(HVAC _Gas Tank ❑Gas Piping _Shutters L Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Scl. Ft.of First Floor:
Cost of Construction:$ 4470.00 Utilities:0 Sewer Eheptic Building Height:
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Name KAND D AFFLIATES INC(BONNIE MIQALI) Name: JOHN V LANGEL
Address:314 S ERiE DR Company: SEACOAST A/C
City: FORT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34946 Fax: City: FORT PIERCE State:FL
Phone No.860-558-3623 Zip Code: 34946 Fax: 7724663053
E-Mail: Phone No, 7724662400
FIII In feesimple Title Holder on next page(if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CACO16446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
08/27/2015 09:32 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 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 Counter makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict 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 revlew 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:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TOO HER:Your fai ure to Record a Notice of Commencement m result in your paying twice for
improvements your grope . A Notice of Commencement must be r orded and posted on the jobsite
before the firs Inspection. IfJou intend to obtain financing,consult w' lender or attorn y before
commencin or recorObAoWNotice of Commencement.
5
_Sign a of Owner/Le /Agent Signatur Contractor/Li rise Holder
ST OF FLORID STA OF FLORID
C NTY OF ST Luc1 COUNTY OF ST LUCIE
T rg Ing inst m w c owledgl!j Fefor'e me The forgoing Instrument was acknowledg re me
Iday of 20 this 1'T" day of auau-T by
JOHN V LAN^L JOHN V LANGEL
(Name of p n acknowledgi ) (Name of per ck wledging)
(Signature of o o ure of Nota P blit-5t _
""PY"�•• ,��ppY LAer#GEL , .... �• � C Y NGEL
Personal) Know " SRT' 'I1 nnrr`` I Personal) Know )e4'
Personally y COMMi5S18 OPP44% y Y GO I > FQ d
t
Type of Identifica du�ed�_.__.___.__ Type of Identifica iqR.Pmdl,: N
EXPIF{ES ugh, ,,. k y
•;�•or M1;•' ,?off r� .,
Commission No. ........
Flpridoht `ryJee.enm Commisslon No. f40�13J�r+-0,53 FloridaNal Ice,tOm
• r
Reviscd 07/15/201.4
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS