HomeMy WebLinkAboutBuilding Permit Application 11/11/2015 12:48 7724662417 SEACOAST SHEET METAL, PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Bu NIM
urSiIJJT ..!,
, g Application Building Permit A lication
Planning and Development Services
Building and Code Regulation Division
2300 Virgin id Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1573 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 4804 myrtle drive
Legal Description:
Property Tax ID#: 3402-608-0146-0004 Lot No,—
Site
o. _Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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( ions wor o e orme under this permit—c eC all app Y:
OHVAC Gas Tank OGas Piping _Shutters ❑Windows/Doors
ElElectric Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6825.00 Utilities Sewer O Septic Building Height:
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Nam E thu bui Name: John v[angel
Address:4804 myrtle drive Company: seacoast a/0
City: ft pierce State:_ Address: ft pierce
ft pierce State:
349$2 Fax: City: fl
Zip Code:
Phone No.252-4754 zip Code: 34946 Fax: 466-3053
E-Mail; Phone No. 466-2400
Fill in fee simple Title Holder on next page(If different E-Mail; tlseaooastair a@iao1,com
from the Owner listed above) State or County License: cacol6446
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/11/2015 12:48 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 priorto the issuance of a permit.
St.Lucie count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confillct 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 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 OWN ER:Your failure to Record a Notice of Commencemen/rea
y result in your paying twice for
improvements to aur proNA?
41r,
A otice of Commencement must be rded an posted on the jobsjte
beforethefirst i spection. end to obtain financing,consult winder o an attar ey before
commencing w or r o Notice of Commencement.
, AU_z9& P_vilap s
_Signa e f owner/Le /Agent Signature of tractor/Li ns e Holder
ST F FLORID STAT�EIT LORiDA
C TY OF BI ILI9I9 COU Iy L F Al lualn
The i�Ing instr s acknowledge�efore me The forgoing instrument was acknowledged b fore me
this 6��tay of 20 _by this"day of nn" _ zo by
Jo angel 1 john v langel
am of person ac ow ging) (Na of�erson acknow led
lgna ;of
Firat'
u tate F rI a
Per nail Known x O Produced identification ORP ed Identification
T e of entification P ed roducedCommission N r� ^�1�/ y��/ea /�fJGEL eal
!;4►RY nV�(�.. 1 f9ML Y 6�M i R�L� = .F•i
r.P,• ,il.• ¢; I N R F148077. I-n`:, i MY CC�(�qy
/ EXPIFIt=S August 30,201 a "40,' Skl'IRSS Au Uat t^ 072
Revised 07/ r �'> '' ;Ton-0133 FlaririeN 3d eo,,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS