Loading...
HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date- (n - 1 Permit Number: A - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 j 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: �)q A/ ,-c n'�ek Legal Description: i U © ,r Property Tax ID#: �kt`� - S - I - < ' - Lot No. l Site Plan Name: Block No. 3cl Project Name: Setbacks Front Bach: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 30 c l� 1� C�f[c .�-} ,' l/�,ei ea CI ISC. + if1 Q+rr � (.4�f� •� /c� �j r 1 r1 t?��T S ��C� S�% t��"�^ �z ��.�I '� �i�� K�'�- LC�OSTRUCTION INFORMATION: nnitiona workto performed under this permit-check a apply: 1]HVAC E]Gas Tank E Gas Piping Shutters Windows/Doors gElectric L_._l Plumbing OSprinklers 11 Generator 0 Roof Roof pitch Total Sq.Ft of Construction: S Ft.of First Floor Cost of Construction: $ Utilities: Sewer ESeptic Building Height: OWN ERAESSEE; CONTRACTOR: Name C'- l Lj�+�! r at�tEi 1Varr2e: 1 sLe,{a"� tJe t-:, - Address: ) IV& I /l.�c'zy�.�/I CA ifs Company: ��_!��� �.�Ja City:_J,r S} State: rL Address: 4,i(2 Zip Code: ? Fax: City: F- Ir-4- r' '-IT C-'C State: F Phone No. Zip Code: _�`f'1 2i Fax: / 4 E-Mail: Phone No. Fill in fee simple Title Holder on next page if different E-Mail: 0 C e from the owner listed above) state or county License: _ .---���'7 l% _ If value of construction is$25M or More,a RECORDED Notice of Commencement is required. SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION: DESIGNERIENGINEER: �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 priorto 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 orand 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 reWrqLng your Notice of Commencement. S Si e OwnedLessee/CaYiE. r re o ontra "/License Holder STATE OF FLORIDA E OF FLORIDA COUNTY OF S COUNTY OFc The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this t #7ay of 20 Eby this day of i..r 20 1�1 by (Name of person acknowledging) {Name of person acknowledging J V." '��7 '4L' 1�'4 4" ignature of Notary Public-State of Florida} (Si tore of Notary Public-State of Florida} Personally Known -'_� OR Produced Identification Personally Known a OR Produced Identification Type of Identification Produced Type of Identification Produced ,,PPiPI Commission No. Oaaa,Y R'ay� (S �jR M RAULERSQl4 mmission No. aIASQN M RAUL SON ;. a- Notary Public-State of Flod � Notary Public-stall, f Florida y , ;;�a�`a MY COMM.Expires Fe 28, 202o a rr Remised(17/15/2QI ,n M Comm.Camm.Expires Febfeb 28,2Q2D �` 5546 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS