HomeMy WebLinkAboutBuilding Permit Application 11/18/2015 14:07 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce rl.34982 Residential
Phone:(772)462-15S3 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address-
Legal
ddress Legal Description:
6
Property Tax ID#: 1310
Block No.
Site Plan Name:
Project Name:
>3ac1c: _Right Side: _Left Side:
Setbacks Front
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nHVACwar c o e e acme un er t is permit—c ec a app V:ShuttersWindawsJDoors
Gas Tank ❑Gas Piping
Electric Plumbing []Sprinklers E.]Generator Roof
Total Sq. Ft of Construction: Sq-Ft.of First Floor:
Cost of Construction:$ • Utilities:L]Sewer Septic Building Height:
-OWN TES.
lle I;JVi rr+ :: !•'� e :5� Name, 'JOHN V LANGEwL
Name n y Company: SEA COAST A/C
Address: S AVE 3
2601 INDUSTRIAL
City +A n, State:��L Address:
� Com: FT PIERCE State:FL
Zip Code: 31f Fax: 34946 466-8053
Zip Code: Fax:
Phone No. 7i'2- ` 6 466-2400
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEAG0AS-rA1RQA0L,C0M
from the Owner listed above)
State or County license: CAGO16446
if vaium of construction is$2500 or more,a RECORDED Natice of Commencement is required.
11/18/2015 14:07 7724662417 SEACOAST SHEET METAL PAGE 03
UPL IuINT,4L. lVTF:l1CTlQN'`L1iU:LAlll! 110 (VlA`1'i .Na
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DESiGNER ENGINEER: Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name:
Address: Address:
City: State: City: State' _
Zip: _Phone: Zip: Phone:
FEE SiMPLE TITLEHOLDER, _Nat 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 confilict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne 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 revlew;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 result In your paying twice for
improvements to you roperty.A!Noticeof mmencement must be recd ed and po ted on the jobsite
before the first insp ion. if you intend to ain financing,consult with I der or an orney efore
commencin work recordin oakINot! Commencement.
A,( s
Signature ZORIDA
er/Lessee/Agent/ Signature of tractor/l is n Holdzr
STATE OF STATE FLORIDA
COUNTY Di:S wce COiUN () BS LUCIE
The for oing instrum£p•yye�t was acknowledged before me The forgoing instrumet1t�as acknowledged before me
this, day of rV�Y_ 20(-by this rT day of d V1W 20 ILby
JOHN v to e - JOHN v LANCE
(Name f p r acknowled g) (Name of r on a owled ng)
(Slgn ur ublic-State (Signa a of Nx7ublIc:St of Florida}
Personally Kn x OR a ced Identification Personally K OR roduced Identification
uce Type of identification Produced
Tl$ACY KAY
�slb ippc ll
C MMISSION#1=Fi48072 eal) Commiss TRACY KAY LAS
EXPIRES August 30,2Qi8 :
,.,_. �i {; My CpR1MISSION#FF14867?
(4075 13 'y11M .
Revised 07/15/2014 (4°71 atsa Florldallota Servlcr„cpm
i;EVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIE=W REVIEW REVIEW REViEW REVIEW
DATE
COMPLETE
INITIALS