HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -20/201--:� 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 _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: `/I7"8 S ne Dr e_
Legal Description: AlD FJ 4. - I I LO G Z2.E - 2_T�60)
Property Tax ID#: _!:� 2"Z� y�-�t){O-)-,0, 01�� 0po`� .l Lot No.
Site Plan Name:/n��Ilk6 Hat c I' NNE Block No.
Project Name: FCC c 1 � e at
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
P
R�—ve Gt� LAif eoncA,4t,onrr)(j_ un+fi cc7nnci ir�fic d l a new) AC
Stm �_5 -tones 16. 1,) ,-5cCR with 10 r-W electr11 C heater.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all h apply:
In
XHVAC Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers L1 Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ � Utilities: Sewer F Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name VAI A Name: t CIO ('
Address: , 4#- E' y , Company: IN INC
City:0�nycc U n e, FL_ State: .. Address: re
Zip Code: k Fax: City: yt'Sajn"tic 1f', Stater
Phone No. -�^f3_'2' L16_0q_30 Zip Code: 9j Fax:
E-Mail: mi 1Kel Dad. Phone No. `J"" 1
Fill in fee simple Title Holder on next page(if different E-Mail: rQ)( --n- rC c-0.it r)
from the Owner listed above) State or County License: �,.I I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: 3( Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: )C 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 1 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 work or recording your Notice of Commencement.
s
_Signature o Owner/Lessee/Agent Signature of Contractor/L cense Holde
STATE OF FLORIDA STATE OF FLORIDA COUNTY OF LooE COUNTY OF SAINT LOCIE
The forgoing instr en was acknowledged before me The forgoing instr en'tGwas acknowledged before me
this, day of m ct'' 20 4by this day of �So ►'Y)ber ,20 by
(Name of person acknowledging) (Name of person acknowledging)
(Sign at, tart'Public-State of Florida) (Signature of Nota ublic-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. I
p� P MELGAR KRACH "RY P,,.0 M NICA ELGAR KRACH
°"0.YIPUw MY COMMISSION#GG131286 ��" •"B�
i z��'= •B�� � MY COMMISSION#GG131286
FIRES.AUG 03,2021
Revised 07/15/2014 , *'"` O ` Bonded through 1st State Insurance .E� 0.: Bonded through 1st State Insurance
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS