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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICABLE INFO>MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Nu I ber: '1 ��'�(• �b • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential . PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PRQPOSED IMPROVEMENT LCCATlO[U, A' t Address: •�7(� `� c���� %�� f � C'e� � V'9 9;--Z- Legal Description: Property Tax ID#: [ 9462©00 917L> Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side. �•£dwRs 9 ter E'"a kJ s`9�+x -v',^a3 r t a##x iab'k' "# w€�r�Ny "xc ;2- s � r c 'e'^ems�er. .{,Pr�..�w` .t# ; �a �'# DETAILElIDE-SCRIPTIONrOF�WORK C...O.r❑'?N_Ssr.T.a:R,..;s4,CTIO.. t".s .&§ � °ri, F+,x, ,,, G s'..yy*;MY" N 61x mFis y p�a�°€:'Suxiii w,d^ ,r I g,.ez� Additional work to a pertormed under this permit-check appy: HVAC Gas Tank Gas Piping utters ❑Windows k Doorss.u %>- T k ,s 'I Electric ElPlumbing []Sprinklers Generator ❑ Roof Roof pitch :'Total Sq. Ft of Construction: n S . Ft.of First Floor: yCostofConstruction: $ yl� © Utilities,Sewer Septic !,,!Building Heigh t: ' �. s" a,>3a'e ai�d y� �� � ,v �i� x •sit�� ^.• ryx ar � � }.w `� �,-*„„,3� �� a Xv #aViINER/LESSEE x ° � `ONTRACTOR � i 'Name Name: Address: ? (J`3Company: I s City: i e'Qc� State:-Ef Address: Zip Code: Fax: d City: r State: Phone No. '2 �^ 7-�� '��� p Zip Code: I .Fax. E-Mail: 1 N (`.�A�o�C rn��:�1 "CCNv\- -� Phone No. Fill in fee simple le Holder on next page(if different E-Mail: from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I I i I UPPLEMENTAL CONSTRUCTI®NIEN LAW WIIWNIWRWMM��� ®RNtATI®,N: 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 thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or an 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 comru.Qncing work or recording our Notice of Commencement. r LA s Signa a of Owner/Lessee/Con gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA_ STATE OF FLORIDA COUNTY OFCOUNTY OF The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me thi day of h 20 Eby this day of 20 by (N f person acknowledging (Name of person acknowledging) Q nature of Notary Public-Stat f Florida ) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced �"� ommission No. (S641)iiAHNA INGRAM ommission No. (Seal) Notary Public-State of Florida My Comm.Expires Dec 201 Commission #FF 177249 Revised 07/15/2014 """'" Bonded through National Notary Assn j,' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS