HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE A,CCEPTED
Darc. 212612.016 Permit Number:
Building Permit Appl[cation
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (112) 462-L553 Fax: (772) 462-1518 Commercial Resiclential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of tine
Lega I Description:
Property Tax lD #:
Site Plan Name:
1301-1 1 1-0001-000-5 Lot No.
Block No.
Project Name:
Setbacks Front Back:Right Side: Lr:ft Side:
DETAILED DESCRIPTION T]F WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 10 KW PACKAGE UNIT
ormeo u perm rt - c a pprv:
Gas Tank
PlumLring
Ttr
Gas Piping
Sprinklers llll
S h utte rs
Ge nerato r
f] *,noo*s/Doors
tr_f] *oot
Total Sq. Ft o1' Construction:
Cost of Construction. S 3842.00 Building Height:
CONTRACTOR:
Name: JOHN V LANGEL
Company: ISEA COAST A/C)
Address: 2601 INDUSTRIAL AVE 3
LrTy: " "t-'\vL )Iate:' L
Tin.nAo' 349464'}/ evvL.p3x. 466-3053
phone 116. 466-2400
E-M ail: DAI\ ISEACOASTAIIR@AOL.COM
State or Coruntv ;icense: C;\CO16446
PROPOSED IM PROVEM ENT LOCATION :
Address: 19 L.A VILLA WAY
OWNER/LESSEE:
N3mg WYNNE: BUILDING CORP/HILL
Address:12804 SW 122nd AYE
City: MIAMI State:FL
ZiP Code: 33186
P h o n e 1r1 s. 7 7 2-468-8528
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is 52500 otr more, a RECORDED Notice of Commencemernt is required.
CONSTRUCTION IN FORMATION :
SUPPLEME:NTAL CONSTRUCTION LIEN LAW INFORMATIONI:
DESIGNER/ENGINEER:
--
Not Applicable
Name:
Add ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
Zip:Phone
FEE SIMPLE TITLE HOLDER: Not Aoolicable
Name:
Add
City
zip:
rCSS:
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantinH a permit will authorize the permit holder to build the subiect structurewhich is in contlict with anV applicable Home Owners As5oclation rules, bvlaws or and covenants that may restrict cjr prohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any restrictions Which may apply.
ln consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie t3ounty 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 acr:essory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice fvvAr\ttilt\t I v Lrvv lIEn; I our Tdiluim rty,oe you
CO NEV
re ro necorq a t\toftce oI LommencerTten
A Notice of Commencement must be
intend to obtain financing, consult wi
our Notice of Commencement,
, resun. In your Payrng
ided and posted on the jobsite
nder c'r an attorney before
r
/.{v 5
Th ing instr
thi day of_
_ Signatur
STAT
LoHn v LnruceLr
The forgoing instrument was ar:knowledg fore me
this 25 day e1 rEsnuenv _,20 by
rcanvteNcet-f--\
Persona
Commission No,
-ate of Florida )
OR Produced ldentification
oduced
(Sea l)Commission l\o. (Seal)
,.$l*li% TRAcY xAY LANGEL
Revised ,TRACY KAY LANGtsL
u*t tn"*'t'loN #FFl 48072
[,tY COMI,/ ISSION #FF.l ut8o72
EXPIRES August 30, 2O18
//n7\ aOn nlqt trl,add.f,l^lEn,QaruiE ^^-
REVIEWSLiT
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:;s6fi0ll\lT F!ot linrds(vselvice'9!h#*u,ro*
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEWCOUNTERREVIEW
DATE
COMPLETE
INITIALS