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HomeMy WebLinkAboutBuilding Permit ApplicationBE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1,s53 Fax: (772.) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanic;al Add ress: Lega I Descriptio n : Site Plan Name:Block No. Project Name: Setbacks Front Back: Right Side:Left Side: LD-IIIIEDIISTr-I9TII ] LIKE FOR LIKE CHANGEOUT 31or-. \to sezn lcKc s perm a pprv: V T HVAC Electric Gas Tank Plu m bing l-leas etptng S h utte rs Generato r Ttr Windows/Doors Roof t--l Roof pitchtrl---lsprin kters tr -[otalSq. Ft of Construction: Cost of Construction: $Building Height: CONTRACTOR: Name: CHRISTOPHER LANGEL Company: SEA COAST AJC Address: 3108 INDUSTRIAL 31st ST city: IlllERCE State: FL Zip Code: ?!?46 466-3053 phone 51s. 77 2-466-2400 E-Mail: DANISEACOASTAIR@AOL.COM State or Countv License: CMC035421 lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required. PROPOSED IM PROVEM ENT LOTATION : Property Tax lD 1l: CONSTRUCTION I N FORMATION : OWN ER/LESS;EE: Add ress: City: )LL,\"(- State:FL Zip Code: tTl X+ F Phone No. 11L- 1OY - .,.5-l t Fill in fee simple Title Holder on next page ( if different from the Owner listed above) I certify that no work or installation has commenced prior to the issuance of a permit. St.. LucieCounty.makes no representation that is granting a permit will authoriwntcn ts In contilct with anv applicable Home Owners Asiociation rules hrreur. ize the permit holder to build the subiect structure s or anQ covenants that maV restrict or prohibit sur ru represenLdt-ton rnar ts granung a pefmtt wilt a.utnoflze tne permtt nolder to build the subiecjany appllcaDle Home Owners Association rules, bvlaws or and covenants that mav restrict 6r ot with your Home owners Association and review'your deed for any restrictions Which may apt sucnwhich is in qonflict with any dpplicable Home owfieiiAiSotiaiion iuies,-6vraws or:structure. Please consult with'!our Home owners nssoCialloh ano ievi6w'voiji tjetj restrictions which may apply. ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin 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 WARNIING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice forimprove,ments to your property. A Notice of Commencement must be recoided and iosted'onihe ioOiitebetore the first inspection. lf you intend to obtain financing, consult with lender or an attorney bef6recommencing work or recordi r Notice of Commencement, Revised 07lI5l REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS Signature of Owner/Lessee/Contractor as Agent for Owner STATE O COUNTY "r,Rr.ropHr* r[nc=,. Personally Known _ OR produced ldentification Type of ldentification Produced (Signature of Notary Public- State of Florida ) STATE OF FLORID COUNTY OF l--t,,.-C,i=Q- Personally Known _ OR Produced ldentification Tvpe of ldentification Produced Signature of Contractor (Name of person acknowledging ) (Signa-ture o-f Notary Public- State of Florida ) ;iii?,i.{ti. nAN ELLE M WEs EI'JIAN t ji A 'ii irv n()Mrr,rssloN # FFg614gs '.? ..* ExPlREs February 16,2020