HomeMy WebLinkAboutBuilding Permit Application 02/03/2017 09/51 7724626448
SLC CODE COMP
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ALL AppoCAgLE INFO MUST Of COMPLETED FOR APPUCATION TO BE ACCEPTED Permit Number: 2-0 Building Permit Application Planning and Dievelopment Services auilding and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 3494 Phone.(172)462-1553 pax,(772)4624578 Commercial Residential PERMIT APPLICATION FOR: .To Select-from dropbox,click here U, )�e Address en Legal Descrilpt:lon: 1-32 Propeny Tax ID#:Site Plan NaMe"Project Name:5etbacks Front_ 5-a-.k: Right Side: Left Sidell R�A�I�Lrtl)DIESCRIPTION OF WORK: IIIAIRITW ECO:N�STRUCTION INFORMATION:0 HVAC Gas Tank as Piping U$hutters Windows/Doors goof Total Sq,Pt of Constructiom L So.Ft.of Firsi jor:fL Cost of Co nstructlon: -Tim Utilities.,1:1 Sewer Useptic SuIlding Hieight:Name Afivul Name' - A 56n Pa City: h,*—f Hin state.-EL Addre7ss3l Pq 6 Phone No.- Zip Code.3 Phon r-1111 in Ift simple Tida Holder oft next page If different E-MailftoM the Owner listed above) State or County lUcen S; '71Y if value of canstnwticp is$2500 or mom,a REcoRwm i%ottce of commencement IS required.milli Pill
02/03/2017 09/51 7724626448 —'
_ _ _ SLC CODE COMP
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SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
Namg: Name;/
ZIP: Phone; ZIP- Phone:
FEE SIMPLE TITLE HOLDER; _NotApplicable BONDING COMPANY; —Not Pplicable
Address: Ac(dress:
City: City:_
I CArt(fy that no Work or Instviloktion h"commenced prior to the issuance of a permit
$t.LucIeCbu makes no representation that Is granting a ermitwillauth ' thieerarit holder to build the pubjectsbucture
Which is in coAll ,ct With anV applicable Horne Owners Association rules,bylawrfol a fr arients thpit fAsy restrict or prohibit such
structure.Please consult with your Home Owners Assadation and review Your doe furanyriestrictionsW ichmayapply.
In consideraton of the granting of this requested permit,I do hereby aSree that I will,In all respecta,perfamn the work
In accor.jance with the apprQved plans,the 19orldo BuildIng Codes and St.Lucie County Amendments.
The foll*Ing building permIt applications are exempt from undergoing a full cofIC
acces5o, ctures,sw!rMm(ng Pools,ferices,walls,signs,Ween rooms and a Cry sefs to another non-rftldential um
WARN) TO OWNEM Your failure to Record a Natke of Comma I ent may ult in your Paying Wice for
before t� first ion.If you intend to obtain financing,consult h le r an attorney bef6re
IU or d
SIgnature of erf,11'rentif—Lessee
STATE 0 FL IDA OF FL JDA
COLINTY IF
The forgoing inst
.20
thik3j:-day of k 20 by it day Of by
(signal Notary Publit-Suite of FFI* a)
Pe rsonalty 11no OR Produced identification Personally Kn DR Produced identAcatio
Type of ldri cs�o du Mcatio4roduced_
Commission No. (seal) Commission No, (seal)
Revised 07115/2014
OUNTER REVIEW REVIEW REVIEW RMEW REVIEW RM9W
PAT
RECEIVED
LIDIATE
COMRLETED