HomeMy WebLinkAboutBuilding Permit Application 12/04/2015 14:37 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: laN tAl 15 Permit Number: 514 - dC59�
: ,:, ,a'�,,t�; ,;,,,,;,;, ,;1 �f h, RECEIVED DEC 012015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierte FL.34982
Phone; (772)462-1553 Fax: (772)462-1.578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address; 8505 LAKELAND BLVD
Legal Description:
Property Tax ID#:1301-609-0004-0004 Lot No_
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Itlona wor to e e orme uncler this permit—checK all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ �� � Utilities:]Sewer Septic Building Height-
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Name PATRICIA CURRY Name: JOHN LANGEL
Address:8505 LAKELAND BLVD Company: SEACOAST A/C
City: FT PIERCE State:FIL Address: 2601 INDUSTRIAL AVE_3_
Zip Code: 34951Fax: City: FT PIERCE State:FL
Phone No.466-9187 Zip Code: 34946 Fax; 466-3053
E-Mail: Phone No, 465-2400
Fill in fee simple Title Holder on next page(if different E-Mail: TL,SEACOASTAiRQAOL.COM
from the Owner listed above) State or County License: a�
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
12/04/2015 14:37 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 TITLEHOLDER; _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 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 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to y ur property. A Notice of Commencement must be recordedAnd posted on the jobsite
before the first in pection. If you intend to obtain financing,consult with lend or an attorney b ore
commencing wa recordin ou Na ice of Commencement.
v4q/
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_Signature f ner/Lessee/Age Signature of Cont7DA
r/License Hold
STATE F F ORIDA STATE OF FLO
CDUN FJOHN V LANGEL COUNTY aFJOHN V LANGEL
The r oing instrum n acknowledg efore me The forgoing instrument was acknowledge rore me
this day of 20 by this day of °EOFM6ER 20 by
1.
(Na of pe s n acknowledging) (Name of person/aCk owledging) --
r ,
r
(Signature otary -State of Florida) (Signature of Notary Pu c-State lorida)
Personally Known x OR Produced Identification _.. Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014 1r
TRACY KAY LANGEL.
"""'� YAr 718 o•i +3 MY COMMISSIO #FF14B072
REVIEWS F 1± ?2'!6' NTNG SUPERK,150 PL 1 ,;-.. E� l�,,g 680,9MW !; MANGROVE
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„n REVI W?) a•;tsaREVl WaN0ta eryj&b A?EW REVIEW
DATE tan 3sA
COMPLETE
INITIALS