HomeMy WebLinkAbout1602-0216ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce' FL 34982
Phone: (772) 462-1553 Fax: (712) 462-15j8 Commercial Residential x
PERMIT APPLICATION FOR: To Setect from dropbox, click arrow at the end of line
PROPOSED IM PROVEM EN.IT LOCATION :
Address: 1904 LYNX DRIVE
Lega I Description:
Property Tax lD #:
Site Plan Name:
1425-620-00i29-000-1 Lot No
Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 16 SEER 1O KW
ona o oe perlorm€to un
I-_l^I tuas lanK
rs pernrit -apply:
Vr HVAC
Electric tr
l_lcas eiping
tltl
Shutters
Generator
IT
Windows/Doors
RoofPlumbingSprin klers
Total Sq. Ft of Construction:Sq, Ft. of First Floor:
Utitities: l_lru*"r.
-It.*
t"*'"r *-rrt:-Cost of Construction: $ 571 1 '00
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
DETAILED DESCRIPTION (]F WORK:
OWN E R/LESSEE:CONTRACTOR:
N3rng ROY RLIEB
Address: 111517TH ST SE
City: FOREST LAKE Statr:: MN
zlp Looe: :'"1 Fax:
phone Ns.651-283-3403
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: JOHN V LANGEL
company: tE4-c!4!I j{9
Address: 2601 INDUSTRIAL AVE 3
City: FT PIERCE 5tate: I L
Zip Code: 349!6 p3x. 466-3053
phone 51s. 772-466-2400
E-M ait: DANISEACOASTAItt@AOL.COM
State or Countv License: CACO16446
CONSTRUCTION I NFORMATION :
ENGINEER: _ Not Applicable
Add ress:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Phone:
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is sranting a permit will authorize the permit holder to build the subiect strucrure
which is in conflict with anv dpplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict dr 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 pernrit, 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
before the first iryspection. lf you intend to obtain fin
commencin orr ur Notice of Commencement.
COUNTY Qf sr ructe
The forgoing instrument was acknowledg
this 11 day of FEBRUARY
(Nameo nacknowledging)
Type of ldenti
(ionefr rrc nf oi
STATE OF FI.DRIDA
COUNTY QPsrructe
The ing instru
this day of _
of Notary Public
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
MY CoMMtSFJONT#FF1480/2
ExptRES n!5s%11so, zol e