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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 20 ISr Permit Number: Building Permit Application Planning and Development 5ervlces Building and Code Regulation Division 3300 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 NT-L Address: Zotzp A Legal Description: Property Tax ID#: i3p�� �� - 0©FJl -- _ Lot No. Site Plan Name: Block No. Project Name: ----_-_--- Setbacks Front Back: Right Side: Left Side: _ :1 :' 6 Y I •I I'.• I. ET;4lt- �•�ISR CIPT!`:: :..Q: <'u1l :a.` L-r � v� Lid n l jPP� j0� CO TR .CTIA �� l� •.r.. onal workto rtormed under tnis perms -c ec(a _appy: HVAC -7Gas Tank Das Piping Shutters rs Windows/DoorsL El Electric 7 Plumbing ElSprinklers 11 Generator 01 Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$�,�1 a 00 Utilities: ILII Sewer'oSeptic Bullding Height: Name nl) Bt/,1W% e a Name: JOHN V L.ANGEL _ -- Address I-' Qq 5 W ,. _. Company: SEACOAST A/C City: AiFa rlr State:_ Address: 2609 INDUSTRIAL AVE 3 Zip Code: Fax: City; FT PIERCE State:FL Phone No. ' S—SiJG7 Zip Code: 34946 pax: 466-3053 E-Mail: l Phone No_ 466-2400 Fill in fee simple Title Holder on next page(if different E-Mail: 1-LSEACOASTAIRaQAOL.COM from the owner listed above) State or County License: CAGO 16446 If value of construction is$2500 or more,a RECORDED Notice of Commencement i5 required. Z0 3Iovd -1b13W 133HS 1Sd0Od3S LTtbZ99vzzt 6960 5TOZ/0Z/0T 7777777--7. SURPL� !lNTpN;5TU..CTIQI:: l.; lV'LA.1N:INORIV1TItJ ..: .. ..•f,.! .i..:...a...:.........•r'... .., s,:!.' :...gin.•,.. :. . _ :. DESIGNER/l NGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: _ Address:_ „ _ _ Address: mm'� City: State; City: State: Zip: Phone' Zip: Phone.- FEE hone: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. St.Lucie County makes no representation that is granting aermit will authorize the ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or anscovenants 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 failure to Record a Notice of Commencement may result in your paying twice for improvements to your property.A Not'ce of Commencement must be recorded and posted on the jobsite before the first insYrecording, ion. If you ince d to obtain financing,consult with 17der ora attorney before commencingworkou is f Commencement. V" s Signature of rner/Lessee/Age Signatu7FFLORIDA7 ntractose Holder STATE OF LORIDA %' STATE COUNTY OF�rLuciE COUNTY OFsrc�c;a TheoIn Instrume6 w s acknowled ed efore me The forgoing instrumentwas acknowledged.before me this day of lG- ._pY 20 I< vy this fi day of DG 20 1 5 by JOHN V LANGELl JOHN V LANGEL (Namerson ac ledgi {Name of persoX7L9--, . r C� (Signature u ic-State • rida) (Signature of Notary Publi ate of Florida Personally Kn OR Produced Identification Personally Known x OR Produced I entification Type of Identification Produced. Type of Identification Produced Commission No, Se Commission No. Cif a/AY L,ANGEL 1"J: ,`� �r��1CY Y f MNG 17 � ':•? N!Y CQMMISS C4: .�P�: #FF148072 Re'v'ised 07/15 1 �kPlFa s August 30,2018 `�o?o �Cl'1A�S Augu-9t 30,2pl v ata 9erviee.com J 39e.o�ss FloridaNota $ rySeNice. tao71� REVIEWS FRONT ZONING SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COM PLETE INITIALS E9 39dd -1b13W 133HS 1Sd00d3S LTVZ99VZLL 6569 9T9Z/9Z/91