Loading...
HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / ��1� Permit Number: 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 2- HoW g&n nab �e �I Y' Legal Description: CP�L PONCS INI I (OK '5ril" 941 NA St IV UNIT 1 222 0R 15q 1- Zi% Property Tax ID#:Q� ��[�}" 2` /�0 O — �" 9 Lot No. Site Plan Name: 312 Ho lVog n OR 2222 Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 4P c I'� e V e) U,A C 5 rr l 3 �- r�s G% i I K\e L-3 LT V-) , ¢ L C1 r el f- r� 15��.��, .,�...}rrs � ��°►.. c� �icy . CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit—check all flapply: ©HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors 11 Electric El Plumbing Sprinklers FI Generator F] Roof Total Sq. Ft of Construction: 22 S Ft.of First Floor: Cost of.Construction:$ J Utilities:[]Sewer ElSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name PI-1,r-old f Q�rasj Name: T.i'.:'_P_AA A - G,uIl/tm I' Address: ?"a-,13l 1�. ('lull! (�(��1 �.if . 2t;�014;� Company: Tt-i A-0or" ()Af" (&'Ce_ City: Pb et Scut l (L76� Stater Address: �. Q4�L l .5 IN & /tr►aeLre_ s/- Zip Code: 391967, Fax: City:9�r - 5ci i ri�- It -Yc I C Stater Phone No. Zip Code: '!�,k q SYL� Fax: E-Mail: Phone No. I 'V Y Fill in fee simple Title Holder on next page(if different E-Mail: 0 L fe l from the Owner listed above) State or County License: CACIF3 I GO 63 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: 74 Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not 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 use's 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 wi Irk or recq)rding your Notice of Commencement. s —Signature of Ow er/Lessee A ent Signature of Contractdr/Lice se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instru ent. las cknowledge efore me The for oing instrument was acknowledged before me this day of 20 �by this day of _ 20 by A4 (Name of person acknowledging) V (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) ced�1@(L6ft8�tRACH Personal) Known v r d I M A KRACH Personally Known y n � � i Type of Identification Produ-ed € COMMISSION#GG131M6 Type of Identification Pro n„G„�_ G 03,2021 u X. Bonded thr h 1st State Insurance Commission No. Bond gr&yh 1st State Insurance Commission No. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS