HomeMy WebLinkAboutBuilding Permit Application 10/08/2015 09:26 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST SE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- l6 ISI 1 J gp] ]] OCT Permit Number-
91 M.
51L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart 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 lino Idle h
Address.• 5,00A('15Q
Legal Description: -
Property Tax ID �yD/_(tel ~ � - _ Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
•;:
0E5.Ck1 �f�7(V°:f�� VV O.R'I��•::���•. :�-•:.=
LrK TFr �'`/rP 'j,5 To/) 61cw Alm 5Yr�Ii: 7
�CG7 N��'i��
1;,T1.0'f��..flVO'211/fAT1.0,(
Add it i91%work to bnrrorme under tis permit—c ec all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric ❑Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ �5'�P AC utilities:0Sewer USeptic Building Height'
N'E LE,
Name t+t/nn4 ad:ld;n 4a )Z ro,V05 Name: JOHN V LANGEL
Address: j St,/ nLF 4"r Company: SEA COAST A/C
City: . , r'I . . .___...._...State:Fi- Address: P-601 INDUSTRIAL AVE 3
Zip Code:_ �6(� Fax: City: FT PIERCE _ _ State:FL
Phone No, 77a- $l.*- 20-72 Zip Code: $4946 Fax: 466-3053
E-Mail, Phone No. 466-2400-
Fill in fee simple Title Holder on next page(if different E-Mail: TL.$i=ACOASTAIR@AdL,COM
from the Owner listed above) State or County License: CA0016446
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
10/08/2015 09:26 7724662417 SEACOAST SHEET METAL PAGE 03
SUPPLEM.EN7aL;6.6N`STF;l1;GTI:Of11.LI:EIV LAIN INF4:FtIVIATIO
Jl11;:•
: .
L
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.
5t.Lucie County makes no representation that is granting apermit 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 Dome 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 OW ER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to our propert .A Notice of Commencement must be record and posted on the jobsite
before the first- spection. If y u intend to obtain financing,consult with le er or an orney before
commencing r or re ordi u otice of Commencement.
s
_Signat of owner/Less /Agent Signature Zr,ctor/Lice Holder
STA OF FLORIDA,/
LORIDA STATE ORIDA
COUNTY OFSTLUCIE COUNTY OF srLucic
The for pfng instru of was acknowledged befpre me The forgoing instrumen was acknowledged before me
this day of A" 20 LY—by day of '�c 20 �� by
JOHN V L NGELK JOHN V LANGEL
(Nam(op on acknowledgin (Name oft perso a owe ging}
(Signature o ary Public-St of Florida} (Signature of Not P is State of Ida)
Personally Known X O roduced identification Personally Known_OR Produced Identification
Type of Identification Produced Type of Iden
•Wrc",
�';h.... TRACY FLAY
Commission o , .p���`' ACY 4CA► N�a14 TI�Q � I;L
Se�Fy4gpyz Commission ` +�
• 1/IY CpMM15S1 a IS610fV 8072
Au ust 30,2098 ';'dost ✓ CXPIFiES AUQu9t 30,201$
Scrvl�s.com a Pfd S2rvlca,com
Revised 07 , �
r"3Elor'dltNolOry
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE-IA111ON SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS