HomeMy WebLinkAboutBuilding Permit Application 12/03/2015 17:12 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICAB..LIE INFO MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED Q
Date: 2•`i• 15 Permit Number: 0 6 17 c 0 I
Building Permit Application RECEIVED
Planning and Development Services DEC 0'4 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERMITTING
Phone: (772)462-1553 Fax: (772)462-1.578 Commercial Residen�ib�f e county, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 450 CAMPBELL ROAD
Legal Description:
Property Tax ID#: 2309-800-0005-000-5 _ Lot No,S
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _Right Side: Left Side:
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ltlona workto e e orme under this permit—check a . appy;
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers 0 Generator 0 Roof
Total Sq, Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4085-00 Utilities: newer ESeptic Building Height-
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NameTERESA H CORBIN Name: JOHN V LANGEL _
Address:450 CAMPBELL RD _ Company: SEACOAST A/C
City: FT PIERCE State•FL Address: 2601 INDUSTRIAL AVE 3_
Zip Code: 34945 Fax: City: FT PIERCE State:FL
Phone No,772-461-4510 Zip Code: 34946 Fax. 772-•466-3053
E-Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder'on next page(if different E-Mail: DAN ISEACOASTAIR(PAOL.COM
from the Owner listed above) State or County License: CAC016446 -
1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required,
12/03/2015 17:12 7724662417 SEACOAST SHEET METAL PAGE 03
DESIGN ER/ENG INEER: 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 oun%makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
whlch is!Cn cc n ct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne Owners Associatlon 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 structure w'M I g pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO O�NEPM.�?-ur failure to Record a Notice of Commencement maV res %your paying twice for
improvements to yourfiroperty, A Notice of Commencement must be record Idul dposted the jobsite
le r
before the first inspe ion. you inten c obtain financing,consult with lencl� r arl attar) ybefore
rl
commencing wor rec4nRYO& N ticQPfCoR9-n ncement.
X/tv
gnature r Lessee/Agent Signature of Con ract
STATE OF IDA STATE OF FLOR17 , 7
F! rIcIaNIA&USurvi
JOHN
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rsonall ---OR Pr uc d Identification Perso I 7yK h wnx —OR Pro uce
Type if! ation Produced 1350, 11 Y KNOWN Ty of Identifi t
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS