HomeMy WebLinkAboutBuilding Permit Application 09/08/2015 12:27 7724662417 SEACOAST SHEET METAL PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � zi Permit Number:
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7Y+ RECEIVE
- Building Permit Application
Planning gnd Development Services SEP .8 2015
Building and Code Regulation Division
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: 3517 RED TAILED HAWK OR
Legal Description:
Property Tax ID#: 3424-800-0125-000-9 Lot No.
Site Plan Name: Block No.
Project Name,
Setbacks Front Back: Right Side: Left Side:
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ZHVAC L_J Gas Tank EGas Piping CGenerator
Shu'tters F]Windows/Doors
11 Electric Plumbing ❑Sprinklers Roof
Total Sq.Ft of Construction: SPt.of First Floor:
Cost of Construction:$ 5153.00 Utillties:n Sewer❑Septic Building Height:
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Name HOWARD HAMILTON Name: JOHN V LANGF-L µ
Address:3517 RED TAILED HAWK DR Company: SEACOAST AIC
City: PORT SAiNT LUCIE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: Fax: y:
34952 City: PIERCE _ State:FL
Phone No.772$071464 zip Code: 34946 Fax: 77246630$3
E-Mall: Phone No. 7724662400
Fill in fee simple Title Holder on next page{if different E-Mall: TLSEACOASTAIRQ_AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction is$2500 or more,a RECORDED NQtice of Commencement Is required.
09/08/2015 12:27 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 County makes no representation that is granting a permit will authorize thepermit 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 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 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 a record d and posted on the jobsite
before the firinspection, f you intend to obtain financing,cons4t with le er or an attorney before
commencingAvo,rk or recgIrdingivour Notice of Commencement.
VITY
s
Signa of Ownersee/Agent S' azure of Cont ctor/License Holder
STAT OF FLORID/ STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OFST LUCIE
The for ping Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of SL 20 i5 by this GTH day of SHPTeMSPR 20 by
JOHN V LANG JOHN V LNVGE
{Na a person acknow g) (Nam p son ac k ledging
4� nv,�
( ture of (signature otary tate 0f FI da
Personallyut€cfeii g Personally n9R,. ' iso e E o
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Type of(dent I ii Pio�limvd�; nnMlssl Type of Ide tfi iC n Rxq>�a�dMMISSION# I
EXPIRES August
Commission to""�`" Florldallow e'com commi i r°fn ;
SS p NQ'r,�".,..�." .+dxMala se
(407) Q�9
Revised 07/1.5/201.4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS