HomeMy WebLinkAboutBuilding Permit Application 10/08/2015 07:33 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 O�q � 1� Permit Number
- RECER71-D OCT 0 8 2015
Building Permit Application
Planning and Development Services
Building and code Regulation Dlvlslon
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line /yj«�
ov . IN
: aATIil7l�; -
. ... ; ....:::
Address-
Legal Description:
Property Tax ID#: `3�✓.7 �D,j r QO�f' �` � Lot No.
Site Plan Name: Block No.
Project Name,
Setbacks Front Back: Right Side:, . Left Side: _
D� QILEf� I�E'5CRI:PTI:O.�>.01y 11V� �;'.•.Lire > F /_d� �9,S 7 p,1 Afte-/9
I-
Q
•CQ N�T.- � ��,'•�.N..
itf wor t o e orme un der' c this permit—check a appy:
HVAC OGes Tank Das PipingShutters 0 Windows/Doors
Electric Plumbing Sprinklers 1_Generator Roof
Total Sq. Ft of Construction: SQ. Ft. of First Floor:
Cost of Construction: 2
$_ � "� Utilities: Sewer[]Septic Building Height:
r v •ik,v,7 ,.1' i. . . ..
Name 0^,4.6 P, Name: JOHN V LANGEL .
Address: 7/9 5/6 40/741" Company: SEACOAST A/C
City: 0 f State:L�_ Address: 2601 INDUSTRIAL.AVE,9
Zip Code:-., °I2 Fax: City FT PIERCE State:FL
Phone No. 77' $ Zip Code: 34946 Fax: 466-3053
E-Mail: Phone No. 466-2-400
Fill in fee simple Title Holder on next page(if different E-Mail: TI.sCACOA5T/ IR(TAOL,COM
from the Owner listed above) State or County License: CAC016446
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
10/08/2015 07:33 7724662417 SEACOAST SHEET METAL PAGE 03
SUP:P:E NTAI~;CON'S�TRUGTI 'N X115 L1�1i[�( t'i1JIA1IOi�� _
7•+
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 Count makes no representation that is granting a J ermit 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
improvements to ya r property.A Notice of Commencement must be recorded d posted on the jobsite
before the first insp coon. If you intend to obtain financing,consult with lender r an attor y before
commencingwork r recordin ou Notice of Commencement.
JA'VW Ow
s
signature of D r/Lessee/Ag t Signature of Contra /Ucense Hoi
STATE OF FL 5911DA STATE OF FLO DA
COUNTY OF UTLuciE COUNTY OFSTLucIE
The forging instrument was acknowiedgedpefore me The forgoing instrument was acknowledged before me
this "�T"day of 7,0 �7? by this—day of �C� .20 �by
J014 V LANGE JOHN V LANGEL
(N m erson ack wl ing) (Name f ers nowledgi
ign ary o•Florida) (Signa Pu ic•S e of Florida)
Personal sown x R Produced Identif(Cation Personally �" oduced Identification
Type of Identification Produced Type of Id i q c
��.,.
Commission No. Sea() Commission Br {Seal)
wyc
"ZNIOeS�
'� MS7+Q4a TCRevised 0711512 o �990�sP90z
ora
; ;,Ole �7
REVIEWS FRONT ZONING so PLANS VEGETATION SEA TU MANGROVE
COUNTER REVIEW REVIE REVIEW REVIEW REVIEW (REVIEW
DATE
COMPLETE
INITIALS