HomeMy WebLinkAboutBuilding Permit Application 10/20/2015 10:0I 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MM BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:LS
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 V/
Phone.(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line MeCA
Legal Description:
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
AdditWalworKtOotoe ofted uncier this permit—check 811 tuat apply.
M-HVAC U Gas Tank Gas Piping EJ Shutters E]Wlndows/E)oors
DElectric F�Plumbing 1-1prinklers 11 Generator EJ Roof
Total Sq.Pt of Construction: Sq.Ft.of First Floor-
Cost of Construction: Utilities:0 Sewer OSeptic Building Height:
Address: Wk raKe--; Company: SEACOAST A/C
Address: 2601 INDUSTRIAL AVE 3
Zip Code: Fax:_ City: FT PIERCE State:FL
PhoneNo.--1 — +73 —qq1,q0 Zip Code: 34946 -3053
Fax: 46R
E-Mail: Phone No. 466-2400
Fill in fee simple T-ifle Holder on next page If different E-Mail: TLSEA0OASTA1R@A01.,C0M
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.
10f20i2015 10:01 7724662417
SEACOAST SHEET METAL PAGE 03
,: :l: LA,tU'I N FC"XO'".�i;
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 to the issuance of a permit.
St.Lucle County makes no representation that is granting a permit will authorize the permit hoi der 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 1 will,in all respects,perform the work
in accordance with the approved plants,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 your property. A Notice of Commencement must be retard and posted on the jobsite
before the firInspection If you intend to obtain financing,consult with Ien r or an att rney bef re
commencing o k or ratan in Notice of Commencement.
IF s
Signof Owner)Les eJllgent Signature of Co actorjticense Ider
STA QF FLf RIDA STATE O LORiDA
CO NTY OF sr Lucie COUNTY OF sr,.ucic
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge efore me
this�day of Pe>L 20 t5-by this M day of � 20 � by
JOHN V LANGR1 JOHN V LANGEL
(Name n aclmowiedgin {Name of p a cnowledging)
(Sign lo- to Florida) (signature of No ublic-Stater- rids)
Personally Known x OR Produced Identification Personally 6no �__OR Produced Identification
Type of identification Produced Type of identification Produced
Commission No. 5 Commission No. _ _ (Seal)
,4FaY P(,b•.� TRACY KAY E_A NGEL
.tn
•- MY COMM1 i' `' 4+; RACY KAY LANG L.
1 ii" MY COMMISSION#FFt49o72
Revised 07115/2 ,[+ pciho?" EXPiAf~8 August`.30,2018
993 PirgideNotat tSQrV104.00M 44e �." EXPIRPS
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REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATIO
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
C(31viPLETE
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