HomeMy WebLinkAboutBuilidng Permit ApplicationALL 1ArrL1%-AVLG 11VrV {YIVi1 DG %-W1K1r1.c14u rvn rarr..+. _-....... ..✓ _ __. _
Date: Permit Number:
g 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
PROPOSED IMPROVEMENT LOCATION:
Address: % 4 Lt . O C �-
�;U:2�
Legal Description: 2
Lot o.
Property Tax ID #:
Block No.
Site Plan (dame:
Project game:
Setbacks Front Back: Right Side: Left Side;
DETAILED DESCRIPTION'
" "`i` u -9— C.F '-\j
CONSTRUCTION INFORMATION:
HVAC Li Gas Tank LjGas Piping
Electric FPlumbing FISprinklers
-I'F" Y
Shutters Windows/Doers
Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First0—r:
Foo _
Cast of Construction: $ 5c --)O c3cD Utilities Sewer Septic
OW N ERAESSEE:
Marne C,� i� mac, -
Address --14 1 1 r 1 — ----
City: P►a. State:TR
R
Zip Cade: Fax:
Phone No. '2-k l.0 _ �- � ' 7z::: -kA
E -Mail:
Trill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: <roig 'tai
Company, e v1 S c e
Building Height:
it ,r i C C (2-
Y: -lam State:
Cit -L_
Zip Cade: Q Fax` -- 6- ?-(0$
Phone No ."1 �1ty-1- 3 69-2--.—
E-Mail:t2ScS" ttvv�iptn 2t�Ji- 1Yt+
State or County License: I U2-1 t
if value of construction is $25at1 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFVKlvlx i July: Q11ilPANY• Not Applicable
Not
Name:
Address:
City: State:
Zip. Phone:
FEE SIMPLE TITLE HOLDER: __ Not Applicable
Name:
Address.
City;
Zip: Phone:
MQRTGAGE C
Name:
Address: State.
City:
Zip: Phone;
BONDING COMPANY. _ _ Not Applicable
Name:
Address:
City:
Zip: -._ Phone.
I certify that no work or installation has commenced prior to the issuance of a permit-
5t, Lucie County makes no r apresent appcture
lthat icable O�wnhrs Association rules�byl ws or and covenanermit ts that mto ay rild estrict or prohict bit such
which is in conflict with any pp
structure. Please consultwithyour ble Home Assoc'sation and review your deed for any restrictions which may apply
in consideration of the granting of this requested permit,
I do hereby agree Codes and St Lucie t I will,
in all A eedmens ,perform the work
in accordance with the approved plans, the Florida
The following building wimming applications
fences, wall signs screen moors and accessory uses to another non-residential undergoing a full concurrency review: room use
accessory structures, g
improvements
nt OWNER: Your property-
A to Notice of Commencementa Notice mustmust be recment orded and result in post d o�n twke for to
improvements to your property
before the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
rnmrnencina wont or recording our Notice of Commencement.
tore of Owner/Lessee/����.ent for t)wner
STATE OF FLORIDA
COUNTY OF
The far oing instru , ent was cknowledged before ane
this day of a 1
20 t1by
(Name of.aerson ac nowled ` `
(Signature of Nota bbl% Mate of Florida)
Personally Known OR
Type of � ' a IoA �r.9 kli
COMMISSION # FF2;Iv
71W:
Revised 07/15/2014
REVIEWS FRONT'ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS �
SUPERVISOR
REVIEW
s
Si it ure of Contractor/License Folder
STATE OF FLORIDA
COUNTY OF c
The forgoing instr ent wa acknowledgedbeforeme
this __7_7
day of 20 1 by
(Name of sWcKn
aj
gnature ofb
Personally
Type ca# ld
:*. MY
PLANS VEGETATION
REVIEW I REVIEW -
of Florida }
may 21. 2R al)
SEA TURTLE
REVIEW
MANGROVE
REVIEW