HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: o9• .� ) `t; ' Permit Number:
Building Permit ApplicationFEB
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 J
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: ���
PROPOSED INPROVEIVIENT..LO.CATIO;N
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Address: S-a&y O K.ee6cb6� Pef *',(fit a rc,e- r L f(btti' a-6
Legal Description: dlfi" 2-e, bc(+ )--i 2 A-��l�ht�
mym at ,,ak t K-,vi
Property Tax ID#: � �- J�� d 0 ' 0 U 0- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED, DESCRIPTION.OF'WORK.
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CONSTRUCTION INFORMATION pry;
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Additional workto a performed under this permit-check a that apply:
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Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
OWNER/LESSE,E z. ; , CONTRACTOR:
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Name J®4ASoV1. Name: rut11, eve
Address: R-a6D o keec_We_e Ad Company: Ga-1 3,&61JY(ry
City:7=' I t.P_Y- A-- State: . Address: 5_3) - lVO4, WbY-Rt LbVzsttyr
Zip Code:�tAW - Fax: City:_p S t- State:�L
Phone No. 6P9. 7a_- WX8- Zip Code: W49-6 Fax:
E-Mail: Q, VLd. a-G Phone No
Fill in fee simple Title Holder on next page (if different E-Mail
from the Owner listed above) State or County License CAC- U-077357
77357
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIQN LIEN",LAV1/"IN FORMATION' :"",, � _ ;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: 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:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing wQqk or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent Signature of Contractor/License Holder
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STATE OF FLORID Yom° STATE OF FLORID
COUNTY OF = COUNTY OF =�2
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The forgoing instrum t was acknowledgedkef The forgoing in str nt was acknowledged_ efor r � z
this day of 20 by W w g this day of 20� by Q RX
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(Name of persfAn acknowledging) Q .....9!� (Name of persoK acknowled ing)
(Signature o N ary Public-State of Florida) (Signature of Vary Public-State of Florida)
Personally Known OR Produced Identification Personally Known / OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.7/2014