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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 32. 4111 Permit Number: s e Building Permit Application Planning and DeveiopmentServices Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR: 141 Commercial Residential 1% I� f-�L fC. a ►� ,�, 111V4,114 1IXt—UKM, ATIO ..,,e orrr�e un oW work to be ert is i'ermii-c ec a p app Y HVAC Gas Tank OGas Piping Shutters Electric ElPlumbing Sprinklers Generator Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ Utilities: Sewer 11 Septic Name Y 1 L } p Address: II r� City: T_ Qy L'e— State: F!. Zip Code: YA Fax: Phone No. E -Mail: Fill in in fee simple Title Halder on next page ( if different from the Owner listed above) 11 Windows/Doors F Roof Building Height: ivame:/ Company: '*�-:44 , - z� IVY Address: [? `r City: State: Zip Code: 1-5), 9 I' Fax. %o'D' �p Phone No. %' _ -7 -) E-Mail:�}rC�vI ) ,CCf State or�C_ounty�License- A S7 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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 inspe tion. If you intend to obtain financing, consult with lender or an attorney before commencing worrec gyour Notice of Commencement. ©f Owner/ Lessee/Agent Contractor/License Holder MATE OF FLOR J) STATE OF FLORI j COUNTY OF ) _ L.�L�LZ,i e— COUNTY OF�- L4 h l e---, The for ing insta ent was a knowl@dged before me this day of 4lnt �'-i� 20)'q by {Name of person acknowledging) S qINA (5tgna�l Ayl ugtAl!'R 6T Florida`" .• pq�hVSSlpf�' C Personally Known ✓ OR Produced Ic9r*i1iicWti4in Type of Identification Produced �•� "i T5 l Commission No. AW, Revised 07/15/2014 The for Ding instrument was acl nowledged before me this day of O J-7 by asm(Name of person acknowledging) !, S}gn INA L.13 1�� of Fic` ia. C'oe l �4y' Personally Known OR ProducgIdpnttifica ion Toe of Identification Produced . 33I \$bmmission No. �� • ��. dtho .��5, .O�` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION DESfGNER]ENGINEER. of Applicable COUNTER REVIEW _ MORTGAGE COMPANY: of Applicable' Name: REVIEW Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: 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 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 inspe tion. If you intend to obtain financing, consult with lender or an attorney before commencing worrec gyour Notice of Commencement. ©f Owner/ Lessee/Agent Contractor/License Holder MATE OF FLOR J) STATE OF FLORI j COUNTY OF ) _ L.�L�LZ,i e— COUNTY OF�- L4 h l e---, The for ing insta ent was a knowl@dged before me this day of 4lnt �'-i� 20)'q by {Name of person acknowledging) S qINA (5tgna�l Ayl ugtAl!'R 6T Florida`" .• pq�hVSSlpf�' C Personally Known ✓ OR Produced Ic9r*i1iicWti4in Type of Identification Produced �•� "i T5 l Commission No. AW, Revised 07/15/2014 The for Ding instrument was acl nowledged before me this day of O J-7 by asm(Name of person acknowledging) !, S}gn INA L.13 1�� of Fic` ia. C'oe l �4y' Personally Known OR ProducgIdpnttifica ion Toe of Identification Produced . 33I \$bmmission No. �� • ��. dtho .��5, .O�` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS