HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. �i 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:
PROPOSED I lPROVEMENTOCATION.
Address: - ,ry 1 I e'v- 0- L4 J rsy 4 -
Legal Description:
UCC_ -A0Y GKC-
- 1e&-4�) v�,�_ NK a
Property Tax ID #: 7v3 - bl io . ooc) • 4o
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
�►„
C
o.4BlLot No.-42-
Block
ock No. '�;2,,3
echanical
vas r eNiIir,
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ avr9 0 •=
mutters
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
Utilities. —Sewer —Septic Building Height -
Name \Q + - eA.L. V Name: F.:Y
Address: 9 QX1 Company: 4)
City: P ��- ° %"t -cam rte- State: Address: -19—M1
Zip Code: " Fax: City: Il W& C Stater.
Phone No. Zip Code: 3 H q 6 `j Fax: a i- Li?
E -Mail: Phone No
Fill in fee simple Title Holder on next page ( if different E -Mail "t)C.Mt J1 CL01 „ C4D_YY_N
from the Owner listed above) State or County License
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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first in c Property.
If you intend to obtain financing, consult with len or an attorney before
commencing ecording your Notice of Commencement.
Owner/ Lessee/Agent
�,Vf`ATE OF FL
COUNTY OFORI ,L_i-k . V
ctor/License Holder
!TE OF FLORID
UNTY OF LLA, c, E,
The for ping instru `t was acknowledged before me The forgoing instrumpnt as acknowledged before me
this day of , V .,P� 2-0-f-7 by this "t. day of '?A/'20 -I by
(Name of person acknowledging)
(Sig at re,of try bl c- to of Florida )
Personally Known OR Produced I ���� d1S all9fjd�r''i�
Type of Identification
''"��
Produced
Commission No. � �I1"> 6`a .0 a`':
e
J'
cu'rv,- - 'A ems✓
(Name of person acknowledging )
(Signature of Notary Public- State of Florida) ��411i11i11lIPp/
SABRINA�I`ACICLVLsr'fl�7er�drr�i.
Personally Known OR Produced 14 '%J 7, - 6
Type of Identification
uced
mission No -1'] = "' %e,,�
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REVIEWS FRONT ZONING l4�4WK0R PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
7
VEGETATION
REVIEW
SEA TURTLE
REVIEW
1/PlPHlf li1y111
MANGROVE
REVIEW