HomeMy WebLinkAboutBuilding Permit Application • 'I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO SE ACCEPTED
9/1/2016 Permit Number:
Date.
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Building Permit ApplicatioK
Planning and Development Services
building and Code Regulation Division
2300 Virginla Avenue,Fort Pierce PL 34982 Re5ideritial x _
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR' Mechanical)
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Address: $06 ROSEWOOD DR, FORT PIERCE,FL 34947
Legal Description:
SANDAL WOOD ESTATES S/D BLK D LOT 2$(0.35 AG)(OR 3741-1910}
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Property Tax ID#; 2407-801-0052-000-3 Lot No._
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Block No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:,^ Left Side:
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itiona wor to e e Aorme 2 un rer t is permit–c�ec a -apply,
HVAC 11 Gas Tank ElGas Piping _Shutters lam•Windows/Doors
Electric 0 Plumbing Sprinklers Generator RoofRoof pitch
Total Sq.Ft of Construction: S •Ft.of First Floor:
Cost of Construction:$�.
Utilities: Sewer D Septic Building Height: —
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Name
EDNA TARANTINa . Name: CHRISTORkR P.LANGEL
Address:
306 ROSEWOOD DR, Company: SEA COAST AIR CONIDITIONING
City: FORT PIERCE State:FL Address: 3108 INDUSTRIAL 31ST STREET
Zip Code: 34947 Fax, City: FORT PIERCE _State:FL
Phone No.
772-359-2572 Zip Code: 34946 Fax. 772-466-3053
E-Mail, Phone No. 772-466-2400
different E-Mail: JOSEACOASTAIR&AOL.COM
Fill in fee simple Title Holder on next page('�f GMC035421
from the Owner listed above) State or County License: .
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if value of construction is$2500 or more,a RECORpED Notice of Commencement is required.
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DESIGNERJENGIN ER: ___._Not App#icab#e MORTGAGE COMPANY: _.._._Nat Applicable
Name Name• '
Address: Address: '
City: State: City: State:
Zip: Phone: Zip: Phone:
E
FEE SIMILE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name' Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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St.Lucie county makes no representation that is granting a permit Will authorize thepermit;holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may,restrict or 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 permit,i do hereby agree that I will,in all,respects,lperform 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:roam additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory use's to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may'resuit in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and,posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF ELORb y --- — STATE OF FLOI�� .
COUNTY OF t-.. S COUNTY QF L 1 t Ci
The fo going in5t nt wa acknowledg before me The forgoing instrument was acknowledged(,beefore me
this day of_�^ 2 — 20 by this day of�-=- 120 . by
(Name of person acknowledging) (Name of person acknowledgingt)
Sinature of Notary Pu lie-State Florida) ign re of Notary Public-State of lorida)
Personally Known OR on Personally Known OR Produced Identification
Type of idem � V12gpKNEILY Type of Identification Produced'
MY COMMISSION t!FF 91� It
Commission • AES',0W'ambS% Commission No
8aa4adlttN 1�rpub9� s„ HflY
MyCOMMISSION;Y FF 9N41411 y
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW : REVIEW REVIEW
DATE
COMPLETE
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