HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� Permit Number:
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
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: % YO a ,wine )or 44 G/ , */
Legal Description: %'1/ieAw-0 64-.-Oe7c//0o c
e ri c L o
4e )Co.,-
J.?J/- /a Vo
Property Tax ID#: /3 J y,,�`cD3 -00.23 -0 0 J0 Lot No. o?.%
Site Plan Name: /t/.b Block No.
Project Name: �CrP'JI'1
Setbacks Front Back: Right Side: Left Side:
HVAC
nElectric
ED
enerrormea unsertnis permit- cI
Gas Tank E]Gas Piping
0 Plumbing Sprinklers
Mappiy:
_Shutters aWindows/Doors
.Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
4 0�
Cost of Construction: $ ��. 7 7 t7 Utilities: _ Sewer Septic Building Height: -? CEJ "C�
Name //01Cdt rl J94h
Address:__Yoo �oi►�CaGrvS G
City: State: _22l
Zip Code: y9�� Fax:
Phone No. 7,;�2 - V9 - 346 6
E -Mail: 4!%11
Fill in fee simple Title Holder on next page.( if different
from the Owner listed above)
Name: 0 �.
Company: COG
Address: G.Z36 rf p . Lve is 11Lr
City:. i-tT�� Stater
Zip Code: c7V9 5/d' Fax:
Phone No. - (3744-
E -Mail: )_ocS' 3e_ Q
State or County License: Scc /3/ 1,5- / So'?
If value of construction is $2500 or more, a RECORDED Notice of.Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address: All
City: State:
Zip: Phon
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
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.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
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 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
commencing work or recording your Notice of Commencement.
of Owhtf/ went/ Lessee
STATE OF
COUNTY OF FLORIDA,
The forgoing instru ent was ackwledged efore me
this day of 20 iby
r. .
of person acknowledging
(Signature of Nogrry Public- State of
r : State o,
Type of I " lG . on�pggqft -
{ ka Gommisslon ay 27.2019
Commi�sio trrt 4 Q3. mm. Expires al Not seeBE
ou ❑ tion
', iJ9t f
OF Vit, e10nd�d ttlt 9
Revised 07/15/2014
of
Holder
STATE. OF FLORIDA
COUNTY OF 9& LR,
The fof oing instru , en was a knowledged before me
this day of 20 1 4 y
_+�o
(Name of person acknowledging) ,4 ,
("t& -mi
ature of Nota Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
ANGELA M HUFF
Com sgi.....tate'of Florp I)
„•j; Ua Commission # FF 234730
4'oe: my r omm Fxnires May 77.7.01°.i'
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