HomeMy WebLinkAboutBuilding Permit Application 10/13/2015 15:04 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 Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To x, click arrow at the end of line
Ft7POSE:p:'111L1P.R:OVGI/I, NT:LO.CATIG? ''
Address:
Legal Description:
Property Tax ID t# �� �_ 1ym ! Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D' E. 143
40(
0�
CON.�TRt1CTl.
AdditionsJ.work to be vpffo-rmeclunder tispermi check aappy:
VAC Gas Tank Das Piping _Shutters 0 Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Constructioru SFt.of First Floor:
Cost of Construction: r
$ �- Utilities: Sewer Septic Building Weight:
r
NTR':';CT�i••��:
Name inName: JOHN V LANGEL
Address• I15EFIARliM Company: SEACOAST A/C
gm�
City; Mi a, ]-l__ state. Address: 2601 INDUSTRIAL AVE 3
Zip Code: f=ax: c� City: FT PIERCE State:Fl-
Phone No. ��� o�� Zip Code: 84946 Fax; 466-3053
E-Mail; Phone No. 466-2400 _
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction is$2500 or more,a RECORDED Notice of commencemmnt is required.
10/13/2015 15:04 7724662417 SEACOAST SHEET METAL PAGE 03
SIJpPLIVINTALCCfIU "RUCI'��SN LIEN EA1N INFdR11/1`.Tt0111
N........:
:. ...
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 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 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 nonresidential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement m result in your paying twice for .
Improvements t your property.A Notice of Commencement must be re ded and p ted on the jobsite
before the first spection. If you intend to obtain financing,consult wit I nder or an ttorney before
commencing w rk or recor n ur Notice of Commencement.
_J1_;V`4 I- V./y S
_Signature of caner/Lessee Agent Signature of C tractor/ticen Hal
STATE QF LORIDA STATE FLORIDA
COUNTY QFsTLuac COLIN OFsrL.uae
The Ing instracknowledge ore mC The f rg instr as acknowledged be a me
this day of _. 20 y this `-�ay of 20 _ y
JOHN v EL JOHN V LANG
e person acknowle ng) (Na p so acknowledging)
(5igMiture of Not u rc•5t e f Florida) (Signature of Nota blit-State Fla
Personally Know OR Pro aced identification ,_ all Kno ORP cod Identification
Type of Identific „rJ'da T ,er oduced
iP„�'
;`#'•'.......• TF;<ACY KAY LANGEL A T fiC'Y}>;,44'
Commission No. OMMIS )}i#FF148072 �' �sn6�fifivagb'FOlVLANr=G!' (Seal)
epa a
EXPIRES August 30,2018 aor� Res q� # 748672
�es•ors u
N0rr a 0 A NIC@,COh1 rrdeNotary$,pNic�.cGm
Revised 07/3.5/2014
REVIEWS FRONT Z_ONiNG SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS