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HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: II ur-31unttcItlVa11NttR: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: PLANS _ Name: Add ress: MANGROVE Address: City: State: City: State: Zip: Phone: REVIEW Zip: Phone: REVIEW FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: _Not 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. Lurie 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 orEpi;ording your Notice of Commencement. STATE OF COUNTYOF ORiDA ('� l e I STATE OF COUNTY OF FLORIDA <�� f , U e The fo�ping instruTent was acknowledged efore me this:(- day of J �t l/��Q , . 20 /by (Name (Signature of Notary Kblic- State of Florida ) Personalpn�,,�'i ation Type of 1 _ � I ntAStic7rn # FP23S6 Commissih° EXPIRES May 21.2019 r4go 5°'vice' 14Yl15&�i:'S5 Revised 07/15/2014 The forgoing instrument was acknowledged rb�fore me this�dayof 3uV1�. .20 l / by (Name of person ackgpwledging) /] Type of Florida EXPIRES May 21. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: o i 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 III PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: H Property Tax ID #: 50�� J 5©5 " VV� - Lot No. 57 Site Plan Name: '� City: I��l.(C-(e. State: FL Fax: Zip Code: 2*q�(5,q r,� 1F Phone No. ✓�� 1�x5'�Ya� Address: 26l v N� dJ� Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: III av'q)Qi O.f MGCIVj V/� V-QI I CONSTRUCTION INFORMATION: L 1HVAC ❑ Gas Tank ❑Gas Piping ❑Electric M Plumbing ❑Sprinklers Total Sq. Ft of Construction: y� Cost of Construction: $ J ( 5 dye bb MO va c-c-cu>M ❑ Shutters ❑ Windows/Doors ❑ Generator ❑ Roof = Roof pitch Sq. Ft. of First Floor: Utilities: ❑ Sewer ❑ Septic Building Height: OWNER/LESSEE; CONTRACTOR: Name Name: , t. I . Address�:�n X17 Company: Q0 1 ! G '� City: I��l.(C-(e. State: FL Fax: Zip Code: 2*q�(5,q r,� 1F Phone No. ✓�� 1�x5'�Ya� Address: 26l v N� dJ� c City: P0 IW (I Ste: Zip Code: 9 Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail: eu eoe I til G 00, 7 State or County License: % 9 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requvea.