HomeMy WebLinkAboutBuilding Permit Application 11/30/2015 13:57 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I 11 —®� �
Date: 11-30-15 Permit Number:
Building Permit Application
Planning and Development-Services
Building and Cade regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial _' Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 7403 GEORGES RD
Legal Description;
Property Tax ID#: 1301-602-0113-000-0 Lot No.� ___
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:,,,_Right Side' Left Side:
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Additionalwor to a ormC under this permit—c ec a app y:
HVAC 11 Gas Tank 7Gas Piping _Shutters O Windows/Doors
11 Electric Ej Plumbing Sprinklers Generator DI Roof
Total Sq. Ft of Construction: SO. Ft, of First Floor;
Cost of Construction:$ 7000.00 Utilities: 0Sewer I_1Septic Building Height:
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NameGERALDIMARY YOUNG Name; JOHN V LANGEL
Addres5:7403 GEORGES RD Company: SEA COAST AIC
City; FT PIERCE State:FL Address: 2601 INDUSTRIAL AVE 3
Zip Code: 34961 Fax: City; FT PIERCE State:FL -
Phone No.772-465-7250 Zip Code: 34946 _ Fax:
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR@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,
11/30/2015 14:04 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 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 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 ail 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,wails,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWN :Your failure o Record a Native of Commencement may result i our paying twice for
improvements to r property, otice of Commencement must be recorded a posted on a jobsit
before the first in ion. If y n o obtain financing, consult with lender n attorney of e
commencing w recordi ice of Commencement.
111A F
s
_Signator of wn essee/A t Signature of Contra /License Holder
STAT OF LORIDA STATE OF FLt3 A
COUNTY OFst Lucie COUNTY 0FST LUCIE
ThTylay
g instrurn w �cnowledge1�b
ore me The forgoing instrument was acknowledged before me
this of Y 20 this s0 day of —"20 by
JO NGS 1 JOHN V t aNGEL
(N the f person a o edging) (Na 7a Ir
on nowledging)
Lwatuf Nota ort a) ig a of
Perso i1y awn x OR Produced Identification Personally Kno x OR Produced identification
Type o entification Produced Type of identification roduced
Commission No. (seal) C mmd a� (Seal)
ta 8 t d 'OE 3Gn6n�SI�tdk3
B1 Oa'q s E�[asBf,(lob)
Z108Vl��+�l40IS�S1l��tW �ra°'� �'�z -���
Revised 07/15 bN Qo��v f•t l�` O(V Aq�3t.tO Vldi1
REVIEWS FRONTZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS