HomeMy WebLinkAboutBuilding Permit Application 10/28/2015 12:17 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 Permit Number: �roa-
;:' RECEIVED OCT 28 MIS
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Port Pierce ISG 34952
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR, Mechanical
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5011 SUNSET BLVD
Address:
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Legal Description:
Property Tax ID#: 3402-608-0224-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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er 1s —c ec-a apply:
AC Gas Tank EGas Piping �_Shutters
�,W+ndows/boors
Electric 0 Plumbing Sprinklers 0 Generator El Roof
Total Sq. Ft of Construction:_ 5 , Ft. of First Floor:
Cost of Construction:$ 5481.00 utilities:11Sewer L]Septic Building Height:
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Name LINDA HAGGERTY. Name: JOHN ,.,.
V CANCEL
Address:214 NW SAGAMORE TERR Company- JOHN V LANGEL
City; PT STLUGIE
State: Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34983 Fax: City: FT PIERCE State:FL
Phone No.724-650-4729 Zip Code: 34946 Fax. 468-3053
E-Mail;
Phone No. 466,2400
Fill in fee simple Title Holder on next page(if different E-Mail: TL•SEACOASTAiR@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,
10/28/2015''. 12:17 7724662417 SEACOAST SHEET METAL PAGE 03
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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.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 Horne 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 failure to Record a Notice of Commencement mawresult In your paying twice for
improvements toJsyc
r property. A Notice of Commencement must be rec ded and posted on the jobsite
before the first intion, if yo intend to obtain financing,consult with nder or a attorney before
commencing worrecordin r otice of Commencement.
i s
Signature VOISR
ner/Lessee/ ent Signature of ntractar/Li se Holder
STATE OFIDASTATE FLORID
COUNTY OpsTLucie COUNTY OFsTLUC,E
Th Ing instr s acknowled fore me The forgoing instrument was acknowledged before me
thin day of _ 2 by this as day of ac7 ,20 _by
HN V L ----LRNGEL '� JOHN V LAN
{N of perso cknowledg' g) tN of person a owl ing)
va
ignatur-o or da) ary of Florida)
Personally Kn n x OR Produced identification ersonally Kn wn x OR Produced Identi IC tiara_
Type of id ication Produced Type of Id ificatio roduced
Commission No. (Seal) Commis p•..
f{¢,.:; C;4" LAN a9 .
+' 11i MY COMMISSION#FF148072
I MAK; "' '�r, ,.r E:XPiR6$August 30.201
RCY1sed.0 .5 M' My COMMISSION #FF148072 I.sg7};,s38.OtS'l F10ti5!aN5t9rySenr10e,cQM
EXPIRES AL>qugt 3Q.2016
y 7y assn-rTu1 Ft ttdnNoMryar`roicr.,e M
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITiALS