Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a Permit Number: 1 V Ur Building Permit Application AUG I C, 200 Planning and Development Services PErEjil'E'TlPG Building and Code Regulation Division St. Lucie COUnty, FL 2300 Virginia Avenue,Fort Pierce FL 34982 p�} Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: ©l J Legal Description: Property Tax ID#: C Lot No. Z�r _ Site Plan Name: �Lf/Z�/�� Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 1liltFP ► ,' 0 - Additional work to be De ormed under this permit-check all appy: ❑HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 2�i and Utilities:Sewer❑Septic Building Height: Name Na > 1- * h Address: / Company: �o City: State: Address: Zip Code: 6S 1�d/l Fax: City: State: Phone No. 6- R Zip Code: Fax: E-Mail, , Phone No. s Z( 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. �EfUIEN 1115T' QN W I } AT N . DESIGNER/ENGINEER: _N t Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: N, 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 commencing work or recording our Notice of Commencement. s _Signature of Owner/Lessee/Agent nature of C ractor/Lice a Holder STATE OF FLORIDA D STATE OF FLORIDA COUNTY OF L'" COUNTY OF &,/dgd_ The forgoing instru bt was ack owled ed before me The for oing instr nt was acknowledged before me this ay of 20 y this day of 20�by (Na(na of person acknowledging) (Natfie of person acknowledg' ) (Signature of No ry Public- t o y,SFlorida) (Signature of,Nota Public-Stat f Florida) Personally Known OR Produced Identification Personally Known v OR Produced Identification Type of Identification Produ pe of Identification Produ Te!z Notary Public State of Florida $� ° Notary Public Stats of Florida Commission No. Meetps Donza mmission No. F $�1Donza 1�t'11_111 My Commission GG 092440 Q M�Z omi(�tssion GG 092440 Expires 07/2712021 evnP� Expires 07/27/2021 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS