HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
nn Permit Number.
D.a!e:
Building Permit Application
AQP^1P.G Qnd DeJelbomen7
!1 5wid ng or-Code ReouiG-;0,^ Div;si0,'
2300 Virginia„ve:n;:e, Fort Pierce FL 3f98? ✓
Phore: (?72! 62-1553 rax: i�%21162-1Si8 COn"mercia+ Residential
PERMIT APPLICATION POR:
A&ress
Legal Descrip ion. I1Q� �ll� - — I� _
\C1ci�o.� x���o,�-e c�—i�r� X10 - �1V, U
c-N
�i "2-. _ ��ZI� O U , Lot No-
"2, o�---
Pmloerty Tax fL' Block No.
Site Pian Name
Proiect `Varve.
BaClc. Right Siae: Le't Side:
Setbacks rr�,o nt
Additional work to e performed under this permit-checK 311 that apply:
shutters ✓Windows/Doors
Mechanical _ Gas Tank Shue
_Gas Piping — —
r n
Electric Generator
Piumbn� — �p.i kers
jq. �iL vi irS
otal Sc.. --0-i_OnSIi tJCiiO'?:
Cost of Ccnstruc ion: S �� Y� Jt !ities: _52wer _Septic Building Height:
c_J'7�rl V•�\`V�hd Y C �rl _--_ nti��Name: 'b
Name p
(CC:
Company:
Addres
_
!x'14 fir, r✓!i 5:, :7 �'''. � .^�Gi lzzl.��C' s�'�
Address: irGB
_ g 2 1� If nd« ka��� C�2d�i. State:
Zip Code: City:
7ip Code: 3693% !=ax: 3L(- 777- qZ3U
Prone No. 1� �•?L —ted ��
-Mail: NI `(� Phone No 772-537-z14-772-537-z14-70` J 1/iatl_ wt 5S{ 4u^710.cz UC t^� =0r
Fill in fee simple Title Holder on next page ( if u�rFerent
Stagy or Cour•t`� eni ,Jj
from the Owner listed above) -
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not applicable
MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: j Address.-
G`t Y: State: City: St-nte:
Zip: Phone: Zip: Phone:
FEE SiMPLE TITLE HOLDER: Not AIpplicable BONDING COMPANY: Not Applicable
Name:
Name:
Address: I Address
Uty: city:
Zip: Phone: Zip: Phone:
F
no
certifytham - work or installation n2s commenced prior to the issuance of a permit.
St_'Lucie County makes no representation that is-ranting a permit.will authorise 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 prohibizzuch
structure. Please consult with your Home Owners Association andreview your deed for any restrictions which may apply.
,:n consideration erarion of the granting of thisrequested permit, ! 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 2 lull 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 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
cornmenAir;9 work or
recordingyour Notice of Commencement.
s
Signature of Owner,' Lessee/Age-7,7 SignatureofConrac7ori"Licens-e Molder
STATE OF FL
STATE OF FLORMA
COUNTY OF (a vcA COUNTY -ur—va r&
7 Th
'le s ackrovvieaged oe;ore M_ i e-orgo n-Inst- enz was acknowledged before nie
�is day of rhis day of
ZE�kmk:rxo nb-,- 0 IT by
Lu-�e s Lis
=d 'ME,' o' son
(N er n a
N i late S, T
1 Florida , _Lz_C of Plorid2
dy C R uced Iden-ification Pe
n rsonailv OR ProCjl_,C d;derlmfilcation
Of
I V. C) IY.r:)eo-! Identilicatlic, Produced
Corrimissio ; Commission '4o..
BROOK5tZIGETI
...... I , , "_ BR KE I
MY COMMISSION#FF244655
2 MY COMMISSION#FF244655
PIRES: .t
I
Re0
ased -11, Bonded Thru No"Public Undenoliters u kund
I z;
R_VIEWS FRONT ZONING SU"PERVISOR PLANS VEGETATION SEA TUR TLE MAN6ROV>=
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DAT`
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