HomeMy WebLinkAboutBuilding Permit Application 10/08/2015 15:27 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Divis/on
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 Aec
fOPOSED fMPROVENI .IVOut
Address: 5%ga 6A o -- % 7e
Legal Description:
Property Tax ID#: «+ 01 r10070– 90-0–� Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back, Right Side:- Left Side: _
DIALLED fECtlPT-I,aN
WN
AdditigAl worctoa performed und er this permit--check all t=appy:
( I
HVAC L�l Gas Tank FIGas Piping _Shutters ❑,Windows/Doors
11 Electric Plumbing [:]SprinklersE Generator O Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$_X1"2�� Q Utilities: Sewer L�]Septic Building Height;
0:111/1V'ER-'lESEE.
CO N`TaCT7.' ..;
: :.. :...
Name Name; JOHN V LANGEL
Address: I.✓ A It /RCompany: SEACOAST A/C
City: Lan L cref State:_,•„ Address: 2501 INDUSTRIAL AVE 3
Zip Code: AOIYY7 Fax: City; FT PIERCE State.FL
Phone No.—'77) –q61-W73 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: TLSE;ACOASTAIR@AOL-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.
J 10/08/2015 15:27 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 w the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holderto 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 arc 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 property. A Notice of Commencement must be recorded nd posted on the jobsite
before the first i pection. if you i tend to obtain financing,consult with lend or an atto ,Ey before
commencingw i<or recordin ur Notice f Commencement.
/Z "�Al-
s
Signatur f Owner/Lessee/pg L' Signature 70RIDA
ctor/License li er
STAT F FLORIDA STATE O
CO TY OFsTLucis CO LINTY OF srLuW
The fo oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of OCL 20 �Uy this day of ��� 20 IL by
JOHN V LANG A JOHN V LANGEL
(Name of p acknow ng) (Name or persona edging}
(Signature of Notary Pu Ic-Stat f rida) (Signature of Notary Pub tate of Flor )
Personally Known x OR Produced Identification Personally Known x OR Prod J dentificatlo
Type of IdentlAcati Type of ldentificatio 7qd d
TRACY IOW L*N6
TRACY KAY L.ANGEL
Commission No, ;`. �^ `• Commission No. h: `" MY COMh� %qN#FF14B072
Y COMi §9AN#FF148D72 �++
;der•,,, PI PIES August 30,2078
?'off:n. PIRE August 30,2a'i p
ta07 ag= FlorigN a Scrviam•eom
407 399.4760 Ftor 9 on +:rvae.
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I NiTIALS