HomeMy WebLinkAboutTrentacoste - 28 Lake Vista Trail #104 SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i 31 --I Permit Number:
z
Planning and Development Services Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
-L- - 1-1 .__ _--_ _
Property Tax ID #: c �1J 0,32,!� — 6DL - Lot No.
Site Plan Name:
Black No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
t!�lechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers i Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $
Name
V
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic
City: +'-� t- ]-.-L,--L e__ vState: -01
Zip Code:Fax: ---�
Phone No. J `] z)
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: )� _
�ompany:
Address: Vb
City: -- j U State:
Zip Code: 34C>1
Fax:
Phone No - -3 -?'-7 {{
E -Mail i t))
State or County-Licensei ` (e
--- -r , -
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 p ert Notice of Commencement must be recorded nd posted on the jobsite
before the first inspec On. I intend to obtain financing, consult with len oyan attorney before
commencin worl4 ' re our Notice of Commencement.
Sign
Agent
SiMr@'Contractor/License Holder
ATfMF FLORI i STCOF FLORID
)LINTY OF Lo. Lr e C UNTYOF�,✓r
The forgoing instrWentas acknowledgedbefore me
this day of _a� 4 jYt�De�! 20 _ by
(Name of person acknowledging )
(Signarp-cStae of Florida ) Z-* ,;. a�tvary?�L
Personally Known If OR Produced Identication 'b
Type of Identification S V. � ~95:137
Produced 9 •?,� 9,
Commission i4t FF)"75'STA (Sea!) f,/ iir f1111r 1
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instr1iment was acknowledged before me
this day of � k�, (�y2o_"r by
(Name of person acknowledging
ig VturreRof Notary Public- State of Florid
P�i*Pa ly�CnowNnA L OR Produced jib
Tytgp,�of Identification ?:
Voced
i
�
Oommission NY- FF—! 1rq
5&3�
PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW
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'ouary? ! ';9C7c
MANGROVE
REVIEW