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HomeMy WebLinkAboutBUILDING PERMIT All APPLICABLE INFO 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 PERMIT APPLICATION FOR: Address: t �— Legal Description: 4 1 Q rrl1 0, - t i Property Tax ID#: L� 2p — ©L � r' f Lot IVO. Site Plan Name: Block No. Project Name:_ L&c9msl ,XOLT\ e= Setbacks Front Back: Right Side: Left Side: I asl at 1 1 i ke df Ir ke ac- iiaat Joor Additional work to be pertormed under this permit-check all that apply: Mechanical —Gas Tank Gas Piping _Shutters ✓Windows/Doors —Electric —Plumbing Sprinklers Generator Roof Total Sq_ Ft of Construction:_ Sq. Ft.of First Floor: Cost of Construction:$ Utilities: _Sewer —Septic Building Height: Name Name: Address: Corn an M01 EvA,- Ise �F Qxc.trr6 Prccerrv>. City: \ ,1r'C 2 State:i Address: i f08 r0MoL'l7a0J 'Dr Zip Code: 3!4 9?L 2 Fax:_ City: I^d.idn J44,rb041 ge&T-n State: I'f Phone No.J]2.-LILif- 11404 Zip Code:: 32-q,3% Fax: 3zl- 777- 4Z3y E-Mail: N)A Phone No- 772-337-4fN70 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. 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 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 -commqncing work or recor in our Notice of Commencement. ),/vivo 5 Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLO STATE OF FLO �` COUNTY OF � Y COUNTY OF i ,J GL� The forgoing instrum nt was acknowledged��efore me The forgoing instrum nt was acknowledged before me ►L this day of 20 by this day of 20 11 by tics, (Name' #s kn edging) (Name of p sia d g) ti (Si a —Qe of` Pu to of Florida} (Sig of a b -State of Florida) Persopall noon ` �xR P� uced Identification Per OR Produced Identification Type df,Identificati n-pro c Type \ uced ! 1111+r Commissio t�$!#"Cr s IE.� jl P, pDItESZIi'sETI M�fiSION#FF244655 Commission MISSION#FF244655 EXPfRES:June 25,2019 •, EXPIRES:June25,2019 ndedrhro Pr ct9ndefaritQrs n of °"`' gondedThfut+lutwPublicUndenwritess Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW HATE COMPLETE INITIALS 1 �� .1 " u, l m In Ln w �, m OD Co 00 m Co W co w of w y m rn w cn m m: o o� v o A N i I ( rt { 4 N4�Cm-1 ID m O m - cm z I r� e, �Q i o C O m m m Q I o z f cn Ertl E C7 r rn r T N lm o m w o w X cn m m D r m C z m c pA i nl cl O 7 c o v v Q� m c o p ZZ m 3 z m O o Ip c �prri o� N n a y1 NEi� a j °mmr mE w r3 m aT. m � nj0o 31� <YI Air � �� m cn "' cn �.-i:. 0 o� �ic,�nS m n' z rss • I may(�;} 3€ O w Z�. .fir oal Z7 (D - �++ r nn si m r— z r °'� m Ion Op r- o o� o m m I w O ,c I m z ..I m i' O O y o < ao v z i o a v • W o C m O G v Z m • i O r su � os D v a b y a ,Np '{ N n S OQ0.0 n C co m a O � lll 1C [[[EEf I m 1 O W T`O N C4 N 0 I r m 0 N a '13rE v i W I N ffi � 0 m� T;13 1 IluY Z uu I m o z 0 ° c D c m o m v- 0 m z V o m CD o ra ^� o (A 0 oI o a o" c au a fX C. o o ! c o o a1 0 0 0 o nl c a 4 S o o m fp Ep ri pl p N O� fNd, a O O a� a a 00 o Y' CD to Ytn of o `CD CDO e, G o o. 'o. o` o 4 . o �• EIE'A q p Cr O O O 1W N �cZI Z Z Z Z Z Z Z Z ZI 2i Z x G 1 Z Z Z III �\ �§ �§ �\ �} �r �§ �{ . � » § �\ �: ) �1 :> \ �\ CL � »