HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date
Building Permit Application
?lonrina and Deveiopmenr Services
Building and Code Reguiation Division J%
2300 Virginia Avenue, Fort Pierce FL 3498? Residential
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR-.
i
Address: '-1919 l amo Ct
Legal Description: 0V PiAe s 8- Lo+ 3 33
Lot No- 33S
Property Tax ID#: 1312- BO1- D136-OOb�Z
Block No.
Site Plan Name: No(eR
Project Name:
Back: Right Side: Left Side:
Setbacks Front
—Additionai �-vo—rktobepeFFor-medunder this permit–cr1(fLN all that appy: ./Windows/Doors
_Mechanical —
Gas Tank Gas Piping _Shutters
—
_ Electric — Plumbing _Sprinklers —Generator _Roof
Sq. Ft. of First Fioor:
Total Sq. Ft of Construction: __--
Cost of Construction: $ 2-055- Utilities: _Sewer —Septic Building Height:
i game 602
N0. e5 Name: _
�Sr>< l ra
� J
Company-
r31iY G 1rPl� se lir. �� �D � i
Address: y919 %amok& C.I
State: T1 Address: 5
110
�� ipM, �S ALJ
City: Fori P te State: i
Zip Code: 3y95 I Fax: N A
City: lnd«rt xa�rj� i
326v 7_ip Code: 32437 Fax: 3G1- 777 �iZ3�!
Phone No- 77 2 X29 _
Phone No. 772 G -3J 7-qz4 70
t-Mail: 'N1A
i Fill in fee simple Title Holder on next page ( if different E-Mail: uies�h aun� at
Stat` or �.ounty License:
from the Owner listed above)
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
_;�.:..,��, ., - _= ;�sY..Ny.�� .l _�.^'�--:' ?;.,".;r~+'"._._y =r.:�..^-.�w ...J'c+`.-.=ems:- __ =f.ia•,....-rem_ _
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w.i..v..•mac-.n_y.L i--a_ ^•� ...;.—i-i.�...+n- _
DESIGNER%ENGINEER: — Not Applicable ! MORTGAGE COMPANY_ ~ _ Not vApplicable
Name: Name:
Address: ( Address.-
City:
ddress:City: State: i City: State:
Zip: Phone: I Zip: Phone:
i FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
1 Address: Address:
! City: ; City:
Zip: Phone: Zip: Phone:
1 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~colder to build the subiect strucure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit-U&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 fuli concurrency review: room additions,
accessory structures,swimming pools,fences, walls;signs,screer: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
commencin work or recording our Notice of Commencement-
s
I _Signature of Owner/Lessee/Agent i Signature of Contractor/License Holder
STATE OF FLO %DA STATE OF FLO ACOUNTYOF y(lyd COUNTY OFy(�IrC�
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i
The r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �-} 20 �b this 2 day of -AUG1QS& 20 n_by
(Nam s c P % (Na erso d .g)
I
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(Si L e f c - ` f Florida ? ! ig a i ate of Florida? i
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iPers II K wn r duced Identification Per n R Produced Identification
1 Type nr e ' Type c Ica P dui=d
BROOKESZIGETi .—l.. �;�?Pik, BRQOKESZIGETI
Commission No. _t ���- SWtOMMISSION#FF244656 Commission No. �, M`�$�fR SSION#FF244655 l `�
,.wEXPIRES:June 25,2019 ; :a EXPIRES:June25,2019 j
Bonded Th iNotaivPubli
Revised 071'15/2014
REVIEWS FRONT ZONING SUPERVISOR I PLANS I VEGETATION SEA TURTLE MANGROVE
COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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