HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUSTSE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:•9�� � _ PermitNumber:
RECEIVED SEP 0.11015
Building Permit Application
Planning arid Development 5ervices
Building and Cade Regulation Division
2,300 Virginia Avenue,Fort Pierce FL 34,952
Phone: (772)462-1553 Fax: (772)452-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
I
I I+
Address: 3939 ST LUCIE BLVD
Legal Description:
Property Tax ID#:
1432-222-0001-000-9 Lot NO.—
Block
o' -Block No.
Site Plan Name:
Project Name:
Setbacks FrontTpack: Right Side: Left Side:
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LIKF FOR LIKE CHANGE OUT
I ona wor a o ertormea un er IM5 perms -c eC a RJ apply:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric Plumbing. E15prinklersGenerator Roof
of First Floor:
5
Total Sq.Ft of Construction: Ft.
Cost of Construction:$ 7420'00 Utilities:'n Septic Building Height;,
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Name COCA COLA Name: JOHN V LANGEL
Address:
3939 ST LUCIE BLVD Company: SEA GOAST AIG
City:
FT PIERCE FL State: _ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34946 Fax: City: FT PIE=RCE State:—FL
461.3636 zip Code: 34946 Fax:
466-3053
Phone No.
E-Mall: Phone No. 461-3636
Fill in fee simple Title Holder qn'next page(If different E-Mail; TLSEACOASTAIR@AOL.COM
from the Owner listed above)
S't'ate or County License; CAC016446
If value of construction is$2506 or more,a RECORDED Notice of Commencement Is required.
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if0111"� KIN)
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY; Not Applicable
Name: Name:
Address; Address:
City: State._ City: state,
Zip: Phone; Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY, Not Applicable
Name: Name:
Address: Address:
City: City:
Zip, Phone: Zip; Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
StLucle Count�makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which,s In con ict with any applicable Home Owners Assoriatlon rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,In all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OW Your failure to Record a Notice of Commencement may re It in your Ong twice for
L
In ts
I tc)) ER, poste
n
improvements our propert A Notice of Commencement must be record and the jobsite
an atf
before the first pection. if intend to obtain financing,consult with le er or t ney before
-5p )y
commencing Yrk c r re A voupiNotice of Commencement-
/A. V'/,V lot-t vil
Signatur Owner/L7gent Signature a C actor
Xicenser
STATE ZIORIDA STATE 0F0RIDA
COUNTYOF$TLUCIE COUNTY Fb2LUCIE
The going instr m acknowledged qgp—re me The forgoing instrument was acknowledge fare m
:]�!day of 20 this�' day of AUG 20 by
JOHN V-LANGEL JOHN V LANGEL
-rNa(e e son ackno Ing) (Name r acknowledge
(Sigriaiur f - tary Public-5Ate-37I!Ii3—nM------ (Signa vre o eta Public-State Florida)
r f
in r t 'now,
y Of
L
na Public-!
Tut 0
person 11 nKn.L--0VProduced Identification_ Personally own —OR Produced Identification
Type of Identification Produced Type of Identi Ication Produced -
Commission No. (seal) Commission No, (Seal)
r
-YRA(�;V V%A-v LA
My COMMISSION#FF148072 MY COMMISSION#PF146072
41
Revised 0
EXPIRES August 30,201 a
r=xPiRF-,9 August zo,2018
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90 39Vd -11013W 133HS 1SVOOV3S LTVZ99VZLL 06:9T 9TOZ/TE/80