HomeMy WebLinkAbout5804 Bamboo Dr Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning ana Developmem xe vices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34981 /
Phone:(772)462-1553 Fax:(7721462-1578 Commercial Residential ✓
PERMIT APPLICATION FOR:
Address: 2
Legal Description: L - - Q11L ) 125
2
Property Tax ID#: A46 2- l0-)Q - cim-8 Lot No.
Site Plan Name: a Block No.
Project Name: .�"SOJeS(1
Setbacks Front Back: Right Side: Left Side:
fasir.11 )ike Fn/ like eYyage Acior-
-Additional door-work o be performed under tis perms -check all that appy:
_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:$ 211o�.06 Utilities: _Sewer _Septic Building Height:
Name Name:_ Ttnnaul4elsi,
Address:53W 011l`1Y Company: Mm risc aC 6�� ibr'
City: -� prP P Stater Address: ilOb 7omahadlL 1)
Zip Code:3Y98z= Fax: Iy 14 City: I.d;. U..be.., ge.<h State: fi
PhoneNo. :52R- 24)2 Zip Code: 32437 Fax: 3Z.1-777- 4234
E-Mail: N Phone No. 772 337-4470
Fill in fee simple Title Holder on next page(if different E-Mail: aM Ili
from the Owner listed above) State or County License: - +,
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
fON LSI LAW IXFOR ATIOtst - -�
--
r DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: _ Name:
Address: _ Address:
City: _State: _ City: State:
?ip: Phone: Zip: Phone: _
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: _ J 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 thepermit 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.
Fli & I
."fi"A 4467— S
_Signature of Owner/Lessee/Agent Signatur o Contractor/License Holder
STATE OF FLOR'? Q STATE OF FLOR` '_,..I
COUNTY OF 1r7C�'�(l�l�`� COUNTY OF [)Y�VC�Y( 1
The r oing instrument was acknowledged before me The nfor-gryoing instrument was acknowledged before me
this day of 20 ]aby this�L.__L day of Z0 L by
� 1
perso a wledging f p ed
{ g u I -St/a#e of Flit ida I t o \o- t f Florida)
P I o OR ro c Identification _ O r duced Identification
qYP o T rod
Commis MYi�dRMlI�ON 144655 Comm i o. MG
+s MYC I ON a�FF2744655EXPIRES:JIine25,2019 7 S June219
BondWThru Pybfe C¢i
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Revised 07/15/2014
REVIEWS FRONT ZONING S�REVIEW
OR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEWREVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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