HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC|ABLE INFO MUST BE COMPLETED FCIR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Planning ond Development Services
Building and Code Regulation Division
Building Permit Application
2300 Virginio Avenue, Fort pierce FL j4982
Phone: (71'2) 462-1.553 Fax: (772) 462_1578 Commercial Resldential x
Legal Description:
Property Tax lD #:
Site Plan Narne:
1 31 2-800-0c11 0-000_0
Lot No
Block No.
Project Name:
Setbacks F:ront Back:Fiight Side:L.eft Side:
LIKE FOR LIKE CHANGE OUT 4 TON 14 SEER 1O KW
ona ormed u rs permtt -V
T l-leas Riping
f--lsprintters
a ppty:
HVAC
Electric I Gas Tank
Plu mtring
Shutters
Genr:rator
l-l *,noo*s/Doors
_r !Roof
Total Sq, Ft of Construction:Sq. Ft. of First Floor:
Utilities: l-l r"*"r' E r"*Cost of Construction ' S 4725.00
Building Height:
owNER/LT|SSEE:
lf value of construction is s2500 or more, r REcoRDEnffi,t i,,€qui,€d.
PERMIT I,ppLlCAT|ON FrCR: MechanicaLl
PROPOSED IM PROVEMINT LOCATION :
Address: 51t)8 IND|AN BEND L.ANE
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATION :
CONTRACTOR:
N3ms BERNAttD HAMELTN CAROLE GAUDREAU
Address:5108 INDIAN BEND LANE
City: FT PIERCE
ZiP Code: 34951
phone 11o.31t)-7440
Fill in fee simple Title Holder on next page ( if differrent
from the Owner listed above)
Name: JOHN V LANGEL
Company: $EA COAST tuC
Address: 2601 INDUSTRTAL AVE 3
City: FT PIERCE
p3y. 466-3053
phone 11e. zt66-2400
E-Mait: DANIISEACOASTATR@AOL.COM
State or County License: CACO16446
I certify that no work or installation has commenced prior to the issuance of a permit.
st' Lucie countv makes no representation that- is ql?!tjlq_a_p_gl'-it will a,uthorize the permit holder to build the subiect strucrurewhich is in conflict with any a'pplicatJfe HoriiJbwhers AsSociation rules, bylaws or and covenantiihat may restrict or prohibit suchstructure. Ple,ase consult with'!our ttome owrreii Ars;;iaiio;i;;b';;;i6;'y;iii o";"a'r"il"v';;ri?i:i,on, wnrcn may appty.
ln consideration of the granting of this requested perrnit, I do hereby agree thzrt I will, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes rnO 3t. Lucie Couniy Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room addifion5,accessory strtJ6luls5, swimming pools, fences, walls, signs, screen rooms anq accessory uses to another non-residential use
nrd u ' 'v pvr !sy ur I Lr rc .;uu>t [€before the fi in:.
tice circom;;r;;;i..t'-'"'' " '" I or an attdnev beforeCommencir ork o/f re
SU PPLEN4 ENTAL CONSI-R UCTION LI EN
DESIGNER/ENGtNEER: -lNot Applj.rb-iE MORTGAGE COMPANy: _ Not Applicable
Name:
State:
7ip: __Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appticable
Name:
BONDING COMPANy: _Not Applicable
Name:
Zip: __Phone:
eoge me
20
Sign ature of Cgl\tr actor/License
STATE OTFLORIDA
COUNTY Of strucie
The forgoing, instrument was acknowl fore me
this 8 day of r"b oy
e of Florida )
ldentif icatio n
of ldentification
Commission No.
Revised 07l
person acknowledgin
Personally Kgdvn produced ldentificatrorr
MY COMMISSION #FF1 48072
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