HomeMy WebLinkAboutBuilding Permit Application (
11/17/2015 16:16 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
`
Date, Permit Number:
S RECEIVED
Building Permit Application NOV 18 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1S78 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Legal Description:
Site Plan Name: 13lock No.
Project Name:
Setbacks Pront Back: Right Side, Left Side:
-11 Das Piping Shutters Windows/Doors
EIHVAC Gas Tank
12 Electric 17 Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: Sq. Ft.Of First Floor-,
Cost of ConstrL ;P Utilities:0Sewer FISeptic Building Height:_
Name Lac Name: JOHN V LANGEL
ss:J�allftw—1 �T Company: SEACOAST A/C
Addre 50
City: State: Address: 2601 INDUSTRIAL AVE 3
Zip Code, Fax: City: FT PIERCE State.fL—
Phone No. Zip Code: 34946 Fax. 466-3053
E-Mall: Phone No. 466-2400
Fill in foe simple Title Holder an next page(if different E.Mail- TLSE�ACCASTAIR@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.
11/17/2015 16:16 7724662417 SEACOAST SHEET METAL PAGE 03
SUpP. ION LjA,111! I;N�4�Fi:IVi`ATiO�1
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 subjectstructure
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 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,swimmi pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER' aur failure to Record a Notice of Commencement may r suit in your paying twice for
improvements to you roperty. otice of Commencement must be recur ed and po ed on the jobsite
before the first insp ion. If yo ntend obtain financing,consult with I der or an o .ey efore
commencin work reco in o NoViceof Commencement,
S
_SignatureZOPIDA
ner/Lessee/ ent Signature of tractor/Lic se Holder
STATE O STATE FLORIDA
COUNT OFsTLUCIE COON OFsTLUcre
The forgoing instrumen was acknowledged efore me The forgoing instrume was acknowledged fore me
this„ day of f]{r 20 �by this day of 20 ,,, by
/c,
J❑HN ANGEL'S J❑HN V LANGEL
(Na a of p on acknowl ging) (Name of p r on owiedging)
1547
ture o tar ublic-5 0' - (signature of of ori
Personall n n x -. 0 P oduced Identification Personally Know OR Produced d tification
Type of 1 Ificatfon Produce Type of identifi tion Pr uced
Commission No. (Seal) Commission No. (Seal)
Rev
Y COMMISSION#FF14607?• 4��
;argR EXPIRES August 30,2018 A"w ..• �q
407 i 194-0153 Frorl, Nola 9aNfce.ca J ,,,.^ � j N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURT! GR � 5 10t
fop
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RE '�a'Ma s r3c
DATE
COMPLETE
INITIALS