HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: VkN3 � 1�_ Permit Number:
..
R E C E I'.'r D DEC 0 7 20b
Building Permit Application
Planning and Development Services
Building and Code Regulai:ion Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)4.62-1578 Commercial � Residential X
PERMIT APPLICATION FOR: McChanical
:I ,I",l. `'ii n:l li'n I::l..:r�i','•iii'(H! ,.I',r:r•'f�Ij�u�(;:.�iii�l"'1(i(!liu,,,•,iiny,rs•. .
ott. lilt"' undi•:'I'iii:t'ir' i
..{. .,,r,.. �i'7" `1' .I!I•I .,.Ill .I ,I 1 l I'> �rl i I,I:.! y i.r �, 16. �;�I 'hill, 'i I+r.,•,:..,I;.
��.•.b 4 r � !e•:. !.)I. ..I!lli:,.�!'r.II...,jltl!, l,ll:lp�I...:,n.ra:'.f.'It1,11.11,••,.1 `'I �I i 1..IINI,I.�a"'`�Sln,.,t'la�iiiil��`fl�:-:,,
�'!��rl�l I� ..�n"�lu� 'I�s t�� rii�il�'�I�l u ��1.1:''f��4Mr•, a:i'I;;;,. ,..�;., •(,il„IL,,.,, !,. .J,.•,;' r;�L, .,r;.r,u al�hl,,l),,,,.•
' II�
., � rtl. , � •;;i;!o 1 •...•..:;III::... �:,.... ,ar•:,.,:.•rr.-I I �...
Address: 44 VISTA DE LAGUNA
Legal Description:
Property Tax ID#: 1301-111-0001-000-5 Lot No.�
Site Plan Name: Black No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
:!+ .:n;l.,• ;nl. �'a'q I i '•;-s�^�,,..K. �I,�,.r'%�•,., ;;,I I!;r' ,.n� .;.li:',�yJ"�I.'��'��I,,' •;v•:.�,..
77J, I J.. I ...rl, .. n+ii ...,.,,� ",i• ::. .. ... ..j;;,j:'i, .II':I IAV„ p,••��Il,li I.I ",l,1,:�1•i:,,..I.,1{I'y,,.a::
, „„4, t I:.^ ., ,, I I ,I,, ,+t,. ,.):,„r,o,,....!,+.•.t nl •il'I!III,I'�,rl 'i(, e I I,,, •S orfi”
I I .I, i"i c';;,,� ,.,y r'I' �':•r'. II tai 4 I ,f(l,i{,.,.I`•',;'' I I I rI °fi�i;�s ,.
n.. I I I I t ��, 1 I Itl'l'itil I a!;(•r'n !1' l I I I'7+. ,I�in r' .•I!II nl I;r11II{:I, a L I� l „i ll� •.J,II,i,,nil,�•I"I'i'!I!
n ,,' ,I'III' !ri� .f I I .t I I i1SII iil.{•„I,I:I,.,L;;, Il::ai.l III(iil,.yll Il ! I ;{Ill IihlIL,I<:I!I��,lr,��1,,,i!Iilgllllill Il,,.11.�u..";'BNr.^.Ili Ill�llllllll„II,IIIiIIIIIfIld•,::,.l,u,,,Il.l,ll,,....lfl:a:
JI�, ilrta?I�I"tl,� IIn1S1111, ..�u� ,hllil,?,.Ls:�luu:ro.r.,•:.,:;:! :,i, .!..ill!d�j,llirl�lL,1,•....11:, ��
LIKE FOR LIKE CHANGEOUT
3 TON 14 SEER 10KW
i u• u. 75101”,
!I ;Iii r'jl I)Ijlr'° ,ili{;a:'ll;il;llll;;N'i'.'i
l a r.:, "•:!1, •f.'i'y i !, l li 11!'I:; "fk ,,`il l-s,1 m: 1S' II II _.LP - :I•,,.:
II
t,.• '! 1'- ,:1.:4. � I ..J1„i I .'l,' !iii .t ,, ll.
,,;,,'.I'I rly"•..... „ !l,.. '' -y f r ,, '•^..r,91"'�'•�s�+il,r,,.•: i"• I I I II'L, I l;r CdN •)II'I�I .t L,
� r I f � I r F.,II„� I•I,1 ;i,', r l!" Yd ;!' ,,I; ,6.r,' oL.I•
l ��j }�l j I/I �+{Ii�;111 .;I�f1�!/.,.^n 1',11,1, IIII;Ii;III;-';•ire 1?!!yii{iii iTirylf!('�11�!"�;,,n IIIc11,1 �,,,� `�lillllll��llllGlrjl;illl,lr.,.�,(lulil,l.. .•I
1�{ij, rI� � �,.. �IIUSI,�:I �!.•, ..al:�.!';::�; I.I r ru11^ n;l;l(I,. er nhI
1vona Worcto e e orme un er Isperml —c eC a appy:
HVAC [I Gas Tank DGas Plping Shutters n Windows/Doors
11 Electric 2 Plumbing ESprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3894.00 utilities:l Sewer D Septic Building Height:
,, ..I,i.a,. ,:r;. i,,aI! �:gWa I•;T1II!1I1 U�,,�i;l 1 EIl c;z..
';I�'( d r.,•: I I(li ''ll, l,iiY ii;l!�I,hr,;'iid;ir¢ ,II{"� �r ,1 'I�!•+�I'� �(r� �,IlF l3f ��. lt�l!d 'I:u I,.1„a:eal:"••',
r { lli r', II, III.JI,....L,. I.,,I., ,,, U•,Ir„ luhllll�.il!I�"il If,�fLll�lll�!;�Ilr.,!Illdl��..,.1'ir,Il�f!!;!111;11,,,,6....,,.
i1!.I E 1! �i I'n t U (� r lu 1.lN'i.Y.,�i!:,!;,�illtii+!I�;'.'.`:!.'�lly,�'�!, .f'!V::'!'n'L, ..:: 111t1� .�1u,,:d,.!(�LfII�,I�. ,,r„_<I
IGu, ai�,.;�I> ! ! ,. �I�lil(���flf�I��,V:�l�t•�hilli{)I,IIL,,�ENiirifill.,.,I„�I�, .
Name�'NNE i LAVALLCE Name: JOHN V LANGEL
Address:
12804 SW 122ND AVE Company: SEA COAST A1C
City: MIAMI State:F Address: 2601 INDUSTRIAL AVE 3
Zip Code: 33186 Fax: City; FT PIERCE State:
FL
Phone No.
774-239-B541' 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: TLSEACOASTIR,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.
Z0 39dd -d13W 133HS 1Sd00d3S LTPZ99VZLL bE:91 5T0Z/L0/ZT
IV
).0,
0
Not", L'545.' I'M
DESIGNERANGINEER: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, lict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
which
structure.Please consult with your Home Owners Association and review your deed for any restrictions M h 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.Lucia 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 TOOWfN ;Your
fallur to Record a Notice of Commencement may result in your paying twice for
'V "'u
I
Its to N
improvements "y r property. Notice of Commencement must be recorded "nd posted on the jobsite
before the first in ection. If y i"enAto obtain financing, consult with lencle;Zpar an attorney before
Ir 101,
commencing woo or recon r ice of Commencement.
S
Signature of Cc tr for L
Signature o wner/Lessee/ ent cerise H e
STATE LORIDA STATE OF Fl. IDA
COUNT OF sT Luc1E COUNTY OF Luc'F-
f 20
Signature
LC
/TOOF
Luic
The4qrgoing Instrurn n c nowledged before me The forgoing instrument was acknowledge re me
this-L_day of 20 —by this 7 day of DECEMBER by
4qflNVLANG5 JOHN V GEL
e e p on acknowled ng) person,46Kowledgins
fur
r p of
a—c I
n(Si uirlf"of Dt5r, Public-State of Florida) (Siatur of Notary Public State of Florida)
of
n;
nally Known x OR Produced Identification nrsonally K own A OR Produced Identification
Type of Identification Produced, e ofld ification Produced
Commission No. (Seal) Commission No, (Seal)
*rn4a,
Revised 07
riLAIlive--
R
Pull_
LM[Gr:;L '--K'RJ'9 t�s 1 W/V 0
REVIEWS t 028lqM#Fr-�4SW VISOR PLANS V 63a��,?�ANGROVE
X,
REVIEWS '.. I 'PIT F1 �0 REVIEW F
i10 �R)Aaw 30,2OAfE IEW REVIEW REVIEW E IEW
DATE
COMPLETE
INITIALS
EO 39Vcl 7V13W 133HS 1SVOOV3S tTVZ99VZtt t?E:91 -qIOZ/Z@/ZT