HomeMy WebLinkAboutBuilding Permit Application 09/28/2015 07:57 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
• t
Building'Permit Application
Planning and Development Service's
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34952
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: JOHN CANADA i�
Legal Description;
Property Tax[D#: 1436-603-0028-000-5 Lot No...�
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: _Left Side:
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Itlona wor to e e Orme un er Is perm —C eC a appy:
HVAC Gas Tank
Das Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction:$ 4773.00 Utilities:DSewer[]Septic Building Height:
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NameJOHN CANADA Name: JOHN V LANGEL
Address:2312ALANTIC BEACH BLVD Company; SEACOAST A/C
City: FORT PIERCE State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34949 Fax: City; FORT PIERCE State:FL
Phone No. Zip Code: 34946 Fax: 7724663053
E-Mail: Phone No. 77246624010
Fill in fee simple Title Holder on next page( if different E-Mail: Tl.$[ACOASTAIR@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 13 required.
09/28/2015 07:57 7724662417 SEACOAST SHEET METAL PAGE 03
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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 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 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
improvementso your property, A Notice of Commencement must be recorded d posted on the jobsite
before the fir inspection, 1 you i tend to obtain Financing, consult with lende or an attar ey befo
commencin ork oMal
rrecor In r Notice of Commencement-
.-A
ommencement_.- . I V4/ s
Signa a of Owner/Lesse Agent . Signature of Contra r/License Hol
STA OF FLORIDA STATE OF FL0 iDA
COUNTY OF ST LUCIE COUNTY OF ST LVCIE
Th oIng lnstru s acknowledge efore me The forgoing instrument was acknowledg efore me
t I day of 20 by this 2�H day of -9Er'TE°9aeR ZO by
J V LANGELa JOHN V LANG EL
Na a of p rs ac no a ging) (Name of rso ckn ]edging)
(Signa/4(Sisna/4 of Notary E.Elar+d (Signat re ofrnx
���; e o orI a
��"�a°�'•, CY Y t_ANGF-1- � : ,t GV KAY i_ANGL,'..
Persona ly ntiRun '¢ PM g�gip Personally Kn pp•dlllt�L�RMWffWibftFF14807'
Type of ide tt 41-4-4
ca n o ��� Type of IdentlAcatlon roY p igd '` EXPIRES August 30.201 E;
- api� (�C71399-0153 Plor:dsNnlaryservir:r,c:nrr!
ftiN„i
Commission fNta 89-0793 FlorldallotaryS a om Commission No. ea
Revised 07/15/2014.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS