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HomeMy WebLinkAboutBuilding Permit Application 16/36/2615 15:25 7724662417 SEACOAST SHEET"METAL PAGE 02 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED Date: I� " 0©l 3 Permit Number: Building Permit Application Planning and DevelopmentSerylces Building and Code_Regulatfon Division 7300 Virq/nia Avenue,Fort Pierre FL 349#2 Phone:(772)462-1553 Fax: (772)462-1578 Commercial .� Residential PERMIT APPLICATION FOR: To Select from ox cis -arrow c►C� Address: S '�i115� Legal Description: Property Tax ID#: Site Plan Name: Lot No. Project Name: Block No. Setbacks Front Back: Right Side: Left Side: DEl';4lt .. �CR�IRTI�7.IV���Q�F . '-1IIjoRF��±' .. ,.NAr,... 'ON T U.CTlD.I ;ILV:E 'I ;ft;rgTI,CS`N':, na wor o e vrme..:•.Linder �s perm pp -c ec a ay: _HVAC []Gas Tank []Gas Pi _ �'`� Piping Shutters �Windows/Dears IBJ6lectric D Plumbing Sprinklers Generator J�( !TJ Roof Total Sq. Ft of Construction: 5Ft.of First Floor; Cost of Construction:$ Sf 1a,OJ, Utilities;]5ewer Septic Building Height: .FR/Ll SrSj"E, Name NamQ. JOHN V LANGEL Addres: /7 P �.,�r�t Company: SEACOAST A/C City; State: ��- Address' 2601 INDUSTRIAL AVE 3 Zip Code: �� 1 Fax: City FT PIERCE Phone No. 77a-Y15-04YO� State:1=L Zip Code: 34946 Fax: 466-3053 E-Mail; — Phone Na. 466-2400 Fill in fee simple Title Holder on next page(if different E-Mail: TLSF-ACOASTAIR a@AOL.COM from the Owner listed above) State or County License: CACC16446 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 10/36/2015 15:25 7724662417 SEACOAST SHEET METAL PAGE 03 SUPPL n�1=NTA1: N5 RUCTtf .i N LAU1l INFORiN1'ATiQ (. DESIGNERIENGiNEER. 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 hermit will authorize the permit hoiderto 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,l 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 roams 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 Notice of Commencement must be recorded and posted on the jobsite before the first in ection, If y u intend to obtain financing,consult with i der or an a orney before commencingwo or recordi o r Notice of Commencement. s Sign; FFLORIDA or Owner/Lessee/ ant Signature of7rHaider STAT STATE FLQRiDA COUNTY OF sf LUCIE COUNTY CIF sr Lucia The f ting instrument as acknowledged efore me The forgoing instrument Tas acknowledged�efore me this'�,day of G _ , 20by this day of , G! ,20 ly by JOHN V LANGEVL JOHN V LANGFL (Nam per acknowledging) (Name of per nowledging) ( atuynowrnx a ic-sta Florida) (signature of N Pu ic•State of FI a) PersonallOR Produced Identification Personally Known OR Produced identification Type of Identification Produced Type of Identification Produced Commission No CA �( GSL Commission No. t*�aA`` � T0AC'�fV�!ONI��14607t � pmE 'r',RH ;' My COMMISSION i MY CQMMISS4flN dFF1 14t30� 47 8 (407)398.0!53 F14rir1allolE2t�3@t1tlCB,COrI't Revised 47f z j., j'��:oisa F10fid0Nattf gervlce.cam REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE. COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS