HomeMy WebLinkAboutBuilding Permit Application 10/14/2015 13:27 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO`MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )�
Date: /0' 2V.• 1J Permit Number: " v
Building Permit Application) RECEIV
Planning and Development Services
Building and Code Regulation Division OCT 2U15
7.300 Virginia Avenue,Port Pierce FL 349$2
Phone:(772}462-1553 Fax: (772)462-157$ Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Legal Description:
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Name FgdrfClo G Tri Ifr^ JOL-r5 r,9511LO Name: JOHN V LANGEL
Address: X 361 I-At'aenei_ Company: SEACOAST A/C
City:__..R fj,CTS State: . Address: 2601 INDUSTRIAL AVE;3
Zip Code: 3Y 1 K2 Fax: City: FT PIERCE State:FL
Phone No._77d - — n 9 I 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: TLSGACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction Is$200 or more,a RECORDED Notice of Commencement is required.
10/14/2015 13:27 7724662417 SEAC OAST SHEET METAL PAGE 03
plgg ME I-111MIN 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.e County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure ants th,'W'url,In conflict with any applicable Home Owners Association rules,bylaws or an coven at 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,t 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 AmendmentsThe following building permit applications are exempt from undergoing a full concurrency review:room additiom,accessory structures,swimming pools,fences,w@IIs,signs,screen rooms and accessory uses to another non-re5idential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements t ou r r0perty.A Notice of Commencement must be recorded and posted on the jobsite 0 y io dAo obtain financing,consult with le or antorney before commencina work orfec( OrAdVice of Commencement.STATE OF F;DA STATE OF RIDA OT Luc COUNTY 0- LUCIE COUNTY/F8T LUCIE The forgo Ing instrument was acknowiedgeo_�efore me The forgoing instrument was acknowledged before me this this 3 day of 20 by(Na son ackn le Ing) (Name ci son now edgin are of Florida Signaiure of N Public-State'all'Florida)Personally Known x R Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced_Commission No. (Seal Comm!'-i MYCO VV EXPIRESAu.;uW30,2018 Revis( 0&*PIRES August 30.2018 t407)W-0153 F1nr1dANoW!ySery1ctcvm REVIEWS FRONT ZONING SUPERVISOR PLANS VE(3ETATION SEA TURTLE IVIANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE INITIALS