HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 2t22t2016 Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code llegulation Division
2300 Virginio Avenue, I:ort Pierce FL 34982
Phone: (772) 462-1,5!i3 Fax: (772\ 462-1.518 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1 31 2-801 -01 24-000-5 Lot No
Block No.
Project Name:
Setbacks Front Back: Rieht Side:L.eft Side:
I orrnrLro DEScRTPTToN oF woRK:
CONSTRU CTION I N FORMATION :
WO
Vr HVAC
Electric [] et*ning
Total Sq. Ft of Con:;truction:
^ 3587.00Lost oI Lonstructron: :)
OWNER/LESSEE:
N3mg DON SYMINGTOI\Name: JOIIN V LANGEL
Address:4801 PAL.EO PINES CIRCLE Com pany:ISEA COAST A/C
trI5IaT,3:' -Address: 21601 INDUSTRIAL AVE 3
7in cnAo. 34951 Fax:FT PIE:RCE >rare:' .
phone 116. 772-460-9394 Zi. r^^do. 34946 63y. 466-3053
phone 116. 466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
g-Mail: Dltl!ISEACOASTAIR@AOL CON4
State or Cor.rnty License: CAqo16446
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICAI'ION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Address: 4801 PALEO PINES CIRCLE
CONTRACTOR:
SUPPLEMENTAL C:ONSTRU.CTION LIEN LAW INFORMATION:
DESIcNER/ENGltr,lEER: __ Not Applicalole
Name:
Add ress:
City:State:
Ph
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable BON Dn
E.
"ri
COMPANY:_Not ApplicableNG
Name
Add
City
zip:
Addr
City:
Phrone:zip:P hone:
I certify that no worl< or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is grantinq a permit will authorize the permit holder to build the subiect structure
whlch is in conflict with arnv dpplicable Home Owners AsSociation rules, bvlaws r>r and covenants that maV restrict rjr prohibit such
structure. Please consult with your Home Owners Association and review your cleed for any restrictions which may apply.
In consideration of the granting of this requested permil:, I do hereby agree that lwill, in all respects, perform the work
in accordance with tfre approved plans, the Florida Builcling Codes and St. Lucie County Amendments.
The following building perrmit applications are exempt from undergoing a full concurrency review: room additions,
accessory structuresr,swimming pools, fences, walls, sigr-rs, screen rooms and accessory uses to atrother non-residential use
WARNING TO ER: Your failure to Record a Notice of Commencenrent may y'esult in your paying twice for
improvementsfgt'yor.rr property. A Ngtice gf.€ommencement muslt be rec and posted on the jobsite
before the firs/ifilperction, lf r/ou inffnd gdobtain financing, consult with lqfid or an att before
commencinp, flk or record jds vodr.Noilce,of Commencement.
Owner/ Lr:ssee/Sqnature of C
FLORIDA STATE OFr'F[.ORlDA
Qf sr rucrt.COUNTY Qfisr rucrr
L^
(Narr\e person ack a tn0
r- Steie nf Fl
; 1''
'ate of Florida )
Perso n own X Produced ldentification Pers wnx
r ced
Produced ldentification
Typet tific ouce0 Ty tification Pr
No.
UC
Commission No.
,/_,
l(c:l
Revised 07ll5l
MORTGAGE COMPANY: _ Not Applicable
Name:
Phone:
\tt:\l'
_ Signatur
eL\
so1?.
zol s LAhiGEL
i'* MY colYlt\^lssloN #FF1'18072t.:i iro',ot* At.rgust 30 2018
-.-.-,.rc^'i.p com
(e:- ^ ^V U\J) N\' -^dq4 6aq'\'rr**l' r\ojj
SUPERVI:JOR I PLANS
REVIEW I RE:VIEW
ZONING
REVIEWCOUNITER
ETATION
REVIEW
REVIEWS MANGROVE
REVIEW
SEA TURTLE
REVIEW
DATE
COMPLETE
INITIALS