HomeMy WebLinkAboutBuilding Permit Application ALL Date-,
E I�C�7USTJI&COMPLETED FOR APPLICATION Tb BE gCCEPTEp11I( Permit Number:
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Building Permit Application
Planning and Development Services
Building and Cade Regulation Aivislon
2300 Virginia Avenue,Port Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial �..__ Residential x
PERMIT APPLICATION FOR: Mechanical
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Address- 750 BRADLEY ST
Legal Description:
Property Tax ID#: 3402-606-0026-000-1 Lot No.�_
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Q Generator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4453,00 Utilities:Sewer Septic Building Height:
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Name NICOLE POLIDORO Name: JOHN V LANGEI_
Address:750 BRADLEY ST Company: SEACOAST A!C
City: FT PIERCE State: _Y Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No.466-0418 Zip Code: 34946 Fax: 466-3053
E-Mail: _ Phone No. 466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or county License: CAC016440
If value of construction Is•$2500 or more,a RECORDED Notice of Commencement is required.
ZO 39Vd -1d13W 133HS _LSV00V3S L1bZ99bZLL SE:LO STOZ/90/01
Mw ligpip "WO-11 1.
011111�.'..-.-fifi, WINN.,offill".
DESIGNAJENGI NEER: No't' Ap ible MORTGAGE COMPANY:ULa: 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
oun 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 ay result in your paying twice for
improvements tg your property,A Notice of Commencement must be r corded and the jobsite
posted on,
before the first spectiogn, if you intend to obtain financing,consult w lender or n attorney before
commencing mrork or re rcUne vour Notice of Commencement.
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s
Signator f Owner�ree/Ag see/Agent Signature Contractor/Li nse Holder
STAT F FLORID S Contractor/Li
FLORIDA
7
1
COU Y OF STLLJI COUNTY OF SY LUr.1r;
-�e as acknowledged before me
Thelf6tgoing inst um acknowledged ore The forgoing instrument wi
thist () day of_(9y 20 this I day of OCT
I=z— — 20 _by
JOHN NGEL1 JOHN V LANCEL
,fole of perso now ging) (Nam p 'on acknowledgi
Signa u-ro—
�fo7ta—*7ftt� ort a (Signature of'n' PublicQt to of Florida -
Known
Personaly Known x OR Produced Identification Personally Known x OR Produced identification
Type of Identification Produced, Type of identification Produced
Commission No. (Seal) Commission No. (Seal)
TRACY KAY TLANGEL-
W., RACY
My OC)mMISSION 41717148072 7 KAY LAlyCxEL
My COMM'SS'ON#FF148072
Revised 0 7 EXPIRES August 30.2018 .1107
&eP EXPIRI-=S
August an.
FI CO
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION s GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
60 39Vd -lV13W 133HS 1SV00V3S tTVZ99VZLL 96:L0 910Z/90/0T