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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I Permit Number: r a Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34382 Phone. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V111,01 PERMIT APPLICATION FOR: C P O O ED INPROVEMENTLOCATION: �. Address: 9 6 Legal Description: _ � �� �� ,( ��� L 1 A�- Property Tax ID #: ✓�a� C [�% Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: AM C_ ,w C" KL6 4Aitio �STRftl?� IIFORMATIONm per orme un er this permit a c { p p ec . a tat appy: j Mechanical — Gas Tank Gas Piping Shutters — — Wi � indawsfDoars — Electric — Plumbing — Sprinklers — Generator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 0 6 Llq . Utilities: —Sewer —Septic Building Height: CONTRACTOR: Name CD>b 1 C_+ Name:JDAl� h1sf' Address: �� U �K5 LLj�- Companyr% ` SYS City: �(-- . ,.tiu State: �(, Address: Zip Code: 349 9 b Fax: City: _State: Phone No. `7 (� , - L �-j' Zip Cade. �� Fax: 7i� E -Mail: �- Phone No -7 i 3 - ,�7 0? 7 J7 - Fill in fee simple Title Holder on next page if different E -Mail * C� -Ullyy) from the Owner listed above) State or`County LicenseI i�7 k If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. Appilcation 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 Horne 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 Retard 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 in cti . If you intend to obtain financing, consult with lender or an attorney before commencin w o ecordin our Notice of Commencement. of Owner/ Lessee/Agent TE OF FLOR JJ JNTYOF( Tt- L"_r j Contractor/License Holder ATE OF FLORIDA LINTY OF The f r ping instrument was acknowledged before me The forgoing instryment was a nawledged before me this day of 20jA by this day of 20�1by (Name of person acknowledging) {Name of person acknowled in I-\ g g ) (Signature of Notary Public- State of Fo' i 15810 '•,, r SABRINA L. BLACK $';+�© as0« Personally Known i____pR Prod •� uaedl ificat�'on •* Type of Identification* Produced y•, #EF 195337 5:54 � �"•;� �adedlh��;r pQ': Commission No. � 03.3 7 lllllillS� ,�r�r REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED (Signature of Notary Public- State of SABRINA LB K. Personally Known OR Produ Type of Identification Produced Commission No. p7Y n5,63_7 SUPERVISORPLANS VEGE REVIEW REVIEW REV Id#iatiorra__ w #FF 135337 •;iL•• T'ATION IEW SEA TURTLE REVIEW MANGROVE REVIEW