HomeMy WebLinkAboutBuilding Permit Application 10/05/2015 16:02 7724662417 SEACOAST SHEET METAL PAGE 01
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ���
Date: Permit Number:
a w �
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virgr'nia Avenue,Fort Pierce FC 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 6542 ALHELI
Legal Description:
Property Tax ID#: 1306-500-0061-000-2 Lot No.—
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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OHVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑Plumbing []Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 6059.00 Utilities:[❑Sewer❑Septic Building Height:
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Name ROSEMARY REAP Name: JOHN V LANGEL
Address:6542 ALHELI Company: SEACOAST A/C
City: FORT PIERCE State:_ Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34951 pax: City, FORT PIERCE State:FL
Phone No.464.7072 Zip Code: 34946 Fax: 7724663053
E-Mail: Phone No, 7724562400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIRQAOL.GOM
from the Owner listed above) State or County License: CAC01644$
If value of construction Is$2500 or more,a RF;CPRDED Notice of Commencement Is required.
10/05/2015 16:02 7724662417 SEACOAST SHEET METAL PAGE 02
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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 ria representattan 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 INNER:Your failure tb Record a Notice of Commencement m result in your paying twice for
improvem2f�is
o your prop rty.A Notice of Commencement must be rec ded and po ted on the jobsite
before thenspection. you intend to obtain financing, consult wit rider or an ttorn y before
commenclrk or rec di o otice of Commencement.
//V V.///”
_Slgnat a of Owner/Le a/Agent Signature of ontractor/Lice a Holder
STA OF FLORID STATE F FLORIDA
CO TY OF STLUCI COON 0FsTLUCIE
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this 19'day of— � 20l� is isT day of SEPT 20 _by
JOHN V LANor0- JOHN V LANGGL
(N a of person acknowle gin (Name of)Ixon acknowled
(Sig ure of Not y ublic- (Signatur
Pe onally K f r+.`T Q* ' e 'Q st Personally Kno y u"° RFf3 IQj I
Type of Iden it Type of Identifi i� ipl clyQy cAh,Ml p ��,
nrf��•Aua 80.2U18 '+a P FJCPIFiES A u 30.207
Commission Flc, '1�(�' pm Commission N 'f FloddaNalA�S, Ice.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 55A TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REViEW
DATE
COMPLETE
INITIALS