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HomeMy WebLinkAboutBuilding Permit Application ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: : .. _ �..�,'.:',:._. - RECEIV:D SEs' 02 206 1.1 Building Permit Application Planning and Development Services ,building and Code Regulation Division 2300 Virginia Avenue,Fort Plerce FL 3498,E Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR, Mechanical • " •:1 :. � {, N ',' .,::.', � t 'I !:'R)'�:.SI S4 .:4 'Y.' ..,.:f;7.1'A:,-;l ti��r� — K?Y�oI .^Y..f;" .F",,,A.t".:"�{•.?:�II .. ,.. . . r . . :. �,�.,::�;(�.: SCA, :1�r7.1�f.�..r„.;.•::::'>:::,��;:�.+� ,;t... ::1:�� :;r-.:• :,1:. :r,�£`:t,- Address: Le al Description: 9i U.ercn_6 ( LIO'k) tppL to 1R .0 t 1 Property Tax ID#: •• Lot No. 1 1 Site Plan Name: Block No. Project Name: Setbacks Front Bark: Right Side: Left Side: •.-.:..,.�L:;.�,.,.i:t..'i::':+.�y.�.--s'•'::...�;.�,A.:•,.��4aw�C jt,�u';,�1-'..Y..,�'1�,a..,r.. �v.i_2, 5g ,.h,i;k,>.,�r1.�;.,.:L':Si.:.r.,..�01.y::.::•F.:_w.:.�_.,i+,,....r�n.:�.,;i$rg: ."�•r u/..,,r.._.c.1Eu.„3.ta,..1.�..�.r5.,:I.tr.1,�.,N°.t^.i,.,:-,h*.°.,r::,i-.,.�St,''`.,h1.!.'21 -u•,`,•.'i2{{.:ia,:i?G,4aC..n...•,L.,.,,i�.r4,.,r.:'.c,.�>.,.r�rC:1.':C,•�..t.'iGC.gi-rnf;r y',�:ir.4 _.1�.}:,.:......,.:��•Y.._,.=,G.x5'.b�}.;.A•!.sl�.„.,.:j1'.1d.oa.,1,_„..„.T.,.�.nt,.,.1et1y„ar.).1:a.S5,..ti1•la/.,,.,:.•,S._.Yi,L.,,:r?.i)1•AiJ�"):i6i;�i'..r.1F�.�^1...i.:�f:•>t�iI:Sh."�•d.'.•n�tc•.a:i..t:r-:�iiarS�'S:=��r'4'�`�"£aa-v�i,.=9.,..&:,,:.:l;•,"'�:''•�1::r1�:i�,=`�u'uiced•;19+"}�.�: •�r.�: .u .n5 LIKE FOR LIKE CHANGEOUT 1 se.e�' b J�y----J :)1c�. ,r•:_ — .1�rv,• r+P, k.'=a 1 sig i:g'%iC-v::� :,r;: ::i',-r1 Y31 ,,...,.,• :i.as5.:..,i..,•-'iici^�i::,.i u�.._i,,,.-.�,r.�n2 1�..:1:.nr� ...-. 11.tn�:ar'.,`' "r ,�a! �U!75J:�L`_�'.c„ ..�y ;sir .. .. .1;,t;•":' r�S,1. .,I ... ,,.�,.• F ,: .,. •rhi...i �..,:1.;.,.,;.:,,.;,. .y.. ��(.;. :..i,P,.:•'"�.�.t.1.ra�1'i1:�:�1:1.•. ,;:. ,1-�a� •ts. ;':+�h.. ::y5a c::-,.1�'.:1r:;' a •'�' 1..1,. .,51 1.:.,-,.;.MAT.ICC�N:: �•,':•. -;,'S ..t,....:.•..Mnl...).:.a.o-nkec�:.��,.:�Str._�'n;._.1,O.R;.,�,...ra1..•,t••cax:ahtZ..".e.1.1�1:,5..�,. .::�1.u... 5 ,. .. ...�. ._�.'rc:_••�t1....1,euoeac:_1c .C'•�a;: .u1 An --Additional wor to b �e`�eJ rtormecl under t is perms —c ec a appy: OHVAC L_J bas Tank []E]Gas Piping _Shutters Windows/Doors Electric ❑Plumbing []Sprinklers I]Generator Roof Total Sq.Ft of Construction: SFt.of First Floor: _ Cost of Construction:$ �-}' � Utilities:11 Sewer E Septic Building Height: 1.r.+. .. ,.;,.;. .. --...r _�.�_�..._..__._._ 5,, .�1:•�:.,1�« MµN - <4r':ji$:l' - �i-n�'� - -,::i:...K�Y�t,:V.:,i::i:�5,•'ii1::};•,::,:j i r -- .C aQ�,, �i;<<i£?.f3;.;.r_ :ff?'.'- r f__,"..A,,, ..','�;SI ""y. '..w.'r,yY p: i.•.,{',,r..d��.�r,:v:'.Y �•i•a;.• .7.• -- •y'. �i,,r?tr:k�;'�,t'-:„ a���i.y ..�}.. .`t?,�i�.,�hp?,;: S, A � 'k , �.,,,.'�.,J _,h.t,i'.5•ii �;� s.... ...�:;r,:5,:., ,@ ,r .1.`A.rd_� Ike r.'Yrs %.?i%'k`ci:', t�C:r uc•, a�. � `i.;�; :�::a+:" .�•„e•'_':'.'•}': siT�` .�� •.�. ,�w,,,,.,°r',. •.w. ,�..,.� �ti .t.,�• �:��; �1�:, •:�.�-13.x.••,,..�:-• ,�„ - �r_.:a:, :.�,;<. •:�;Vt�:N'�:�� ',..,,.1. ..;,'-ti?�x:;•. 1,.;1�^, �;+' '�.r b.�: :,,P•'�1i.4".>s�'.s!:�'C'.�• .,,,�. ,s('� �£:_,.7;• r,.:kas�r;T;:.r�;r:,Y,�4< ,5.. +asr:.:S:.r:;'r;;_,:,.:.r::::cr :: ..•....,,:•e,•._ ti,.,,,-•..nu,.a,...Io-..., ul.,:r.�'lttii".r•..•.:^..1.•.. a �._.,.....1., :,,. rnSt :..0 n.�,_r..: r..,ch:..3r.,:; .,� .... - NaName: CHRISTOPHER P LANGEL Addres Company: SEACOAST AIR CONDITIONING City; State:FL Address: 3108 INDUSTRIAL 31ST STREE=T meMZip Code: 001Fax: City: FORT PIERCE State:FL Phone No- ��0 —Q�l- 4 1 Zip Code: 34946 Fax: 772-466-3053 E-Mail: Phone No. 772-400-2400 Fill in fee simple Title Bolder on next page(if different E-Mail: DANISF-ACOASTAIR@AOL.COM from the Owner listed above) State or County License: CMC035421 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 0:1'- - °•7:':4.x' •'1: S1• :.'?'L_ 47• ::{;-:- 1 9 i Po- .r,f IJ•• p `t�^•Q+ [Y:dv.40:. Y i. u:.(13:�`i _ is Y,;, ,,;;;, `,,:; ,:•3;. fir.••. .�: ` ! f.�.� ,?�. 1u..i% z3e!. . µL5`.:G;: ,�.a:' ., E;.• r;.ac.. ��:.��:�: i.+�;�.:4II�w:.�:k'�tl�)N:���'�i,���1.a�;: ,.��Y.._�:�4 :,.(,. _.:I�I�: ..r_::�:��r�.:;.,.,;:.-�,..�: ::t(:.;�.:.:...•. •..... .....i.:., ._+n.v:.r, .�G,.V.K..,1.Yi..^....i ..a...) .........., ':..ii'.":57i r`:5:4Yn:-�...y.:.::..,.�f':,.5i:...•.:y:_•.r.' n� "':SC:j.'v�li•�r� r:Y. ..}:1;•" l:i,y. ........e ....... :... .. ...�nlr„1,::.,_:....::,...::.'tia:..:..........,,.7.,'h•..--..,.,nl.....r.,kY>.ar..:4,.3....:I,G...�s..s;'.,�!t:':•.a:..tN'°n..( .,•lR�r,':.;�a, ..e r; 'a+''r'?�.�:.�-:.:r.:w:.i.:•' ;r•:°,.r:r DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address:_ Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE 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. St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conf=lict 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,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 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. VAM P za(z' "114 Y..... s Signature of Owner/Lessee/Agent Signature of Con ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFsTLUc3E COUNTY OF STLucIE The forgoing instr nt was acknowledg d before me The forgoing instr ent w s acknowledged before me this_I day of 20L,)Oby this day of 20 U0 by CHRISTOPHER PILANGEL CHRISTOPHER P LANGEL (Name of person acknowledging) (Name of person acknowledging) r• A Ad �6A!IRL 14aLfflh L4_p SAeo_�� f N Signature 07 Notary Publi -State of Florida) gnature of Notary Public- tate of Florida} Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of c d Type of Ident .4JS7INA lw IiOPKIN&CONNEll Y `r JU9nRA L HOPKINS'CO NNaLy Commi WCOMMISSIONOFF 11 z MYCOImuLssinrdeFF941411 S I) Commission December ) . EXPIRES.Decembem,2018 Handed ThruMaly POW Urlda��s ^" ,lt � 8oadedT33roNote Papfi�Undarwdlen Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS