HomeMy WebLinkAbout1602-0024ALL APPLICABLE INFO MUST BE COMPTETED FOR APPLICATION
Date.2-',l-2016
TO BE ACCEPTED
Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Codr: Regulation Division
2300 Virginia Avenue, Fort pierce FL 34gg2
Phone: (772) 462-1553 Fax: (772) 462_1.Stg Comme'rcial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1312-801-01 36-000-2
Lot No
Block No.
Project Name:
Setbacks Front Back: _ Fiight Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
3.5 TON 16 SEER 1O KW
CONSTRU CTION I N FORMATION :
l-lrte.tric
Gas Tank
Plumbing
TT
p e r mll -ThEEk-a[Fe e r'tt-
GasPiping I lshutters l-l *,nro*s/Doorsrsprinrkters [-l c"uur.to,.T Roof
TotalSq. Ft of Con:;truction:Sq. Ft. of First Floor:
Utitities: l-l r"*.r" E t"*Cost of Construction' S 5087.00
Building Height:
owNER/LESSEU:CONTRACTOR:
Name NOREEN HAYES Name: JOHN V LANGEL
Address: 4919 TAMOKA STREET Company: SEA COAST AJC
City: FT PIERCE 5tato:' 'Address: 2601 INDUSTRTAL AVE 3
zi^ r-^r.. 34951 Fax:City: FT PIIERCE State: FL
pho ne y1s. 77 2-97 1 -1 652 ZiP Code: i\4649 p3y. 466-3053
E-Mail:phone 11o. 466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner lisrted above)
E-M ail: DANISEACOASTATR@AOL.COM
State or Countv License: CACO16446
lf value of construction is 52500 or more, a REcoRDED Notice of co;;encemGrnt is required.
PERMIT APPLICATION
PROPOSED IM PROVEMENT LOCATION :
Address: 4919 TC)MOKA ROAD
SU PPLEM ENIAL CONSTR UCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY:_ Not Applicable
Name:
Address:
City:State:Zip:Phone:
BONDING COMPANY:
Name:
_Not Applicable
Ad d ress:
City:
zip:Phone:
I certify that no work or installation has commenced prrior to the iss;uance of a permit,
St. Lucie Countv makes nw-nicTiii i._ciinfriitiilii'h i?,i?lrri?3,ijil',33;lfbfiFrantjng a permit wirr authorizeJlg f glmit horder to buird the subject structurestructuie. preisu ioniurt with-lioriiH',irir."d;;d;iR!',fJ,'.?iifl'::id'iJ;fu,[u,j]Y; fj"Tl;i'"Vru,li*'J#*if1Tliib''.iu'{'i,it ';tnln consideration of the granting of this requested pernrit, I do hereby agree that lwill, in all respects, perform the workIn accordance with the approved plans, the Florida Building coolirrlJlt, 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, r.r.un i.,o,irand accessory uses to another non-residential useWARNING TO OWNER: Vnrrr frilr,'a ra Daa^-r -. i,^r:-- t ^
Revised
DESTGNER/EN
Add ress:
ztp:_ phone:
FEE SIMPLE TITLE HOLDER: _ Not Appt,i -
Add ress:
Zip: phone:
_ Signaturgr6f Owner/ Lessee/
STATE dr ruonloR
COUMy ef srrucre
The forgoing instrument was acknowledeed
Si gn at u re of;Ko ntr aclor
COUNTY Qf srrucre
The forgoing instrument was ack
this 1 day 61 rEsnuenv
(5ign atu re
Personally
I d ent ifi cati o n
person ackn
OflProd dtdentification
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REVIEWS SUPERVISOR
REVIEWREVIEW SEA TURTLE
REVIEW
MANGROVE
REVIEW
VEGETATION
REVIEW
INITIALS