HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /- �J
Date: 12/8116 Permit Number:_l6 Le � � � !__
RECE
Building Permit Application DEC /9 1016
Planning and development Services
91.1ilding and Code Regulation Division
2300 Virglnla Avenue,Fort Pierce FL 3.4982
Phone:(772)462i15S3 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED MVIPkOVfM. ENTW.-C-A7110'N't:
Address: 718 SE HIDDEN RIVER DRIVE
Legal Description:
Property Tax 10#: I3427-701-0053-000-8 Lot No,—
Site
o. _Site Plan Name: Block No-
Project Name:
Setbacks Front Back: Right Sider Left Side:
pETA]LD..D. S, CiIPT10 O
LIKE FOR LIKE;GHANGEOUT
5 TON 14 SEER 10 KW
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0 STRU.C-TI.O.N•1NFOR:M..;I.O:N:; :::..:.... . :..-
�t ona wor to e e orme under this permit—c ec a appy:
Lr iHVAC Gas Tan!< Gas Piping _Shutters []Windows/Doors
Electric ❑ Plumbing ❑Sprinklers L_J Generator ❑.Roof Roof pitch
Total Sq. Ft of Construction: _ S - Ft.of First Floor: _
Cost of Construction:$ Utilities: =sewer E Septic Building Weight:
..:.
01i1/N R GESSF. .:
Name GUES LIZQTTEName: CHRIS LANGEL
Address: 781 SEI HIDDEN RIVER DRIVE Company: SEACOAST A/C
City: PORT ST LCIE State:FIL Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 349$3 Fax: City: FT PIERCE State:FL
Phone No. _ _ Zip Code: 34946 _ Fax: 772-466-3053
E-Mail: _ Phone No, 772-466-2400
Fill in fee simple Title Holder on next page(if different E-Mail: DANISEACOASTAIRQAOL.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.
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S:UP:F>*EM. ,f�tTA :.GENS" U,CTfd 1':LiE:N..l.w_jN>✓,.O,kIVIaT10`N: .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: _ Address:
City: State: City: State:
Zip: I Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: „Not Applicable
Name: Name:
Address: Address:
City: City: _ ---
Zip: 'Phone: Zip: Phone:
1 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 strycture
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,perform the work
in accordance with thi 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.
Christopher PLangel 0
a#u+,.*zm11 aa:.obvyo(a11a,1v:raearew Christopher P Lan el 1"r•20201111."1.0C35s�n^a"earv�gai
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 8T LUCIE COUNTY OF 9T LUCIE
The f oing inst Int was 4cknovyledged before me The forgoing ins ument was acknowledged before me
this day of 20 t(Q_by this day of 20 by
C�RIS LANGBL CHRIS LANGEL
(Name of person acknowledging) h ` (Name of person acknowledging)All I JAhj'
V
Signatu ",_fir
re of Notary Pub ic-State of Florida) Kgriature of Notary Public-State of Florida)
Personally Known x d 44�MA� Personally Known OR Produced Identification
Type of identification r •, 15 #109_6'r4" Type of identification Produced
0 fAtld6 E M y�SSE
Commission No. Ft-951 M Xpl ea ebruarY��� Commission No. Fesela s, ' iON#Ppg61a59
. y,ol� pearv90 vwe !Z my CO
�ao7i lea a+s3 EXPIRES FebntBrY 16,2020
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097>3nSA153
Revised 07/15/201114
REVIEWS FRQNT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS.
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