HomeMy WebLinkAboutBuilding Permit Application 10/08/2015 12:21 7724662417 SEACOAST SHEET, METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1111 1
Building permit Application
Planning and Development Services
Building and Code Regulation Division
23DO Virginia Avenue,fort Pierce FL 34982 VX
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Aell-k
.............:_„� ......,;. .,w,,.,.,.,i.,..;..:,.,..fav ..i. „a„ n.y, .. '� .I.;•'+,:� .
PA Qp:O ED'IM.PxO.11
Address: 57W 11Y &14�o� �
Legal Description:
Property Tax ID 4: 3�3y ®o�9m29�� _ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETl ILE_ b�SCRIPTIQ.N''OF,,'Z
•... ,:_
Ukt of rk' 2 tin 1 stet to l« Aml. 1:711vpU.
Sys tom+
::'j.,•'
—Add
..T.
i a wor to Orme un ert is perms -c eta appy:
HVAC 11 Gas Tank Gas Piping _Shutters 11 Windows/Doors
Electric ❑ Plumbing [:]Sprinklers Generator Roof
Total Sq. Ft of Construction: _ S�Ft,(of First Floor:
Cost of Construction:$ X1112.®O Utilities: Sewer Septic Building Height:
OVIlNE.RL�SSt;:.' C(3
N f..
Name 0 4'PA Y Name: JOHN V LANGEL
Address: 67LI1 Da I1y 13d/, iG A Company: SEACOAST A/C
City- .A t i Sm<n+ L-11 _ State:F_G- Address. 2601 INDUSTRIAL AVE 3
ZipCode: l f"W Fax: City: FT PIERCE _ State:FL
Phone No. 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: TI_SF-�ACOASTAIF2@AOL.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 12:21 7724662417 SEACOAST SHEET METAL PAGE 03
SURPLEIVI1.-N L,C dIV�ST�if'G
N ,A ,
DESIGNERjENGINEER: 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 cerCifythat no work or installation has commenced priorto the issuance of a permit.
St.Lucie County 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 Nome 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 fail re to Record a Notice of Commencement ay result in your paying twice for
improvements to yoor property A Notice of Commencement must be r corded and posted on the jobsite
before the first insp ion. I y in n to obtain financing,consult w h lender or attor .e fore
commencingwork ecor in o N ice of Commencement.
s
_Signature of own /Lessee/Age Signature o ontractor/Ulcen Holder
STATE OF FLO DA STATE FLORIDA
COUNTY OFsrLucie COUNTY OFsiwom
The forgoing instrument was acknowledged before me The forgoing instrument,was acknowledged before me
this_day of 2 y this_day of 20 _by
JOHN V E JOHN V LANG
(Nam erson ack dging) (Name of r on owe ging
(5i ature tary Public- tat of Florida) (Signature of Nota ublic-State lori
Personally Known x OR Produced Identification Personally K n OR Produ ed Identification
Type of identification Produced _ Type of Iden ation Produced
Commission No. (Seal) Com is,n Seal)
TRACY PAY LANOEL
9
Re M(�►Y `NCalr� '?e'•"` eXPIRES Auqust so,20,a
�- ..
b �( (do7)�98•o1S f F7n�it nNnln 5arvlco.�nn�
s,`,�v u°•.`.�+ �}MtluS�iON#FF148b72
' I t SAL gust
RE 3
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
b Nnt IEW REVIEW REVIEW REVIEW REVIEW REVIEW
qOT 3A6 a
DATE
COMPLETE
.INITIALS