HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' ��' �� Permit Number:
Building Permit Application APP 2 7 ?0,16
Planning and Development Services Pt;:+1IT T 1 M
Building and Code Regulation Division St. E._ucie scum;-, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential _
PERMIT APPLICATION FOR:
PROPOSED INPROUEMENT LOCATION. TT, r
Address:
Legal Description:
Property Tax ID#: Y:457— 76 _ DO VS— UU6 Lot No.
Site Plan Name: Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side: g
DETAILED DESCRIPTION OF i,WORK
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CONSTRUCTION',INFORMATION
Additional workto a performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ /4OO-e �® Utilities: —Sewer —Septic Building Height:
OWNER/=LESSEE CONTRACTOR
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.. _ .. a. _5.... ...... ..
Name _142 AJ 00plq Name:
Address: 00vo Company:
City: ,7— State: Address:
Zip Code: 23- V& Q Fax: City: State:
Phone No. lob��377 a7� Zip Code: Fax:
E-Mail: /UDPhone No
Fill in fee simple Title 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.
.JL �r�iio �ro
Planning&Development Services PERMIT EXPIRATION NOTICE - OWNER
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
December 07, 2017
TONY COPPA
238 BIMINI DR
FORT PIERCE, FL 34949-1530
RE: Building Permit Number: 1704-0584
Job Location: 238 BIMINI DR
Date Expired: 10127/2017
Dear TONY COPPA,
Please be advised that your permit referenced above is expired.
St. Lucie County Land Development code section 11.05.01 (A) (2) states: A building permit shall expire and become null
and void if work authorized by such building permits is not commenced having called for and received satisfactory
inspection within six (6) months from the date of issuance of the permit and if the work is not completed within (24)
twenty four months from the date of issuance of the building permit.
YOU ARE REQUIRED TO SUBMIT A LETTER TO THE BUILDING OFFICIAL REQUESTING AN EXTENSION. A
RENEWAL FEE UP TO THE AMOUNT OF THE ORIGINAL PERMIT FEE MUST BE PAID PRIOR TO SCHEDULING
ANY INSPECTIONS.
RENEWAL OF THE PERMIT AND A PAYMENT MUST BE RECEIVED AND AN INSPECTION SCHEDULED WITHIN
30 DAYS OF THIS NOTICE TO AVOID CODE ENFORCEMENT ACTION.
FAILURE TO COMPLY CAN RESULT IN FINES BEING LEVIED IN AN AMOUNT UP TO $250.00 PER DAY UNTIL
THE VIOLATION IS CORRECTED.
Please call (772)462-1553 if you have any questions.
Thank you
SUXR-HE MENTALtIONSTRI. CTIbN LIEN LAW RMARON1.
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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 our Notice of Commencement.
Signature of 0 ner/Less ekfontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA / , STATE OF FLORIDA
COUNTY OF `, , . 1(��1� COUNTY OF
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this day of.
20a by this day of 20_ by
(Name of-perso4i acknowl ng) (Name of person acknowledging)
cry
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identif'ca . f Identification
Produced L .�``w':P KAREN S. NIEL Efdody ed
commission# FF 115637
Commission No. alYy Commission Ex ism ission No. (Seal)
EOFFO June 12, 201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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