HomeMy WebLinkAboutBuilding Permit Application 11/05/2015 13:54 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICAB E INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regularlon Division
2300 Virginia avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)4.62-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
•. . . _ .,.... ...... G�V�l1�I�NT`•L;r�:C%�T�•;C`1•, r',•:.' 't .,
Address
Legal Description:
Property Tax ID#: `>� -- — 674711` coo - Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Rlght Side: Left Side:
D AkaF:D a . RIPTIO.RI':0
616: .
. . .. ..
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Add
i i a wor o e Orme un er is perm _5hute
rapply.
-
r 0Gas Tank []Gas Pipig Windows/Doors
[]Electric 0 Plumbing Sprinklers Generator Doof
Total Sq. Ft of Construction:_. S . Ft.of First Floor:
Cost of Construction:$ 7��• OO UtilitiestSewer LJ Septic Building Height:
AIP-
Name V 0 i%,a M Bu HS Name: JOHN V LANGEL
Address: I(qI N '�` ' 5 Company: SEACOAST A/C
City: rfI P.,erceState:Fl- Address: 2601 INDUSTRIAL AVE 3
Zip Code:J441W7 Fax: City: FT PIERCE State.•FL
Phone No._7 3 32- ZC?r Zip Code: 34946 Fax: 466-3053
E:-Mail: Phone No. 466-2400
Fill In fee simple Title Holder an next page(if different E-Mail: TLSSACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
If value of construction is$2500 or more,a PECORDEdD Notice of Commencement is required.
11/05/2015 13:54 7724662417 SEACOAST SHEET METAL PAGE 03
SUPPl.I
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DESIGN ER/ENCiNEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State., city: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE MOLDER: 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 malces no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Nome owners association rules,bylaws or andcovenantsthat may restrict or prohibit such
structure.Please consult with your Nome 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 resin n your paying twice for
Improvements to you property. AN ti of Commencement must be recorded Pd posted on the jobsite
before the first insp tion. If you iii to obtain financing,oonsuft with lend or an attorn before
commencin work r ecordi o r No e o ornmsyncement.
17
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Signature of ner/Lessee/Age Signature of Contr or/License Wo!
STATE OF ORIDA STATE OF I IDA
COUNTY OF sr Luoie COUNTY OF S'Lvcie
The for oing instrument as acknowledged efore me The forgoing,instrume�r t w s acknowledged before me
this�day of 20 �by this day of 1v 20 by
JOAV L [t JOWN V LANGEL
Kaof person n edging l (Dame rson acknowledgin
X5, vr-
ign u tate of Florida) (Signature o ary Public da
Pers all own x 0 Produced Identification Person I n x OR duced Identification
Type of identification Pro uced_, Type o
TRACY KAY LANG
RACY KAY 1LgPIG
Commission No. '`". '`a v cor�t�i tON*FF148t}72 Com �.��N� � I)
. � #FR14
.. T EXPIFIES August 30, 018 EXPIRES August 30,201&
AG7'30"116 Elortaa o a rviae.—
Revised 07/15/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEiSETATiON SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS