HomeMy WebLinkAboutPerdue Res permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Planning and Development Services
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772l' 462-1578
€/?r:
Address: J 0\-'
Building Permit APP|ication
Commercial Residentia I X
Legal Description:
(r,
!_
(Lot No. /tuProperty Tax lD #:
BlockNo. 6'/Site Plan Name:
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED I M PROVEM ENT LOCATION:
CONSTRUCTION INFORMATION :
DETAILED DESCRIPTION OF WORK:
Project Name:
Setbacks Front
HVAC
Electric
Back:
-
Right Side: Left Side:
tr_l-lsprint<ters u E noor W Roorpitch
Totat sq. Ftof constru ction; J 1. J 5/./3
Cost of Construction , $ 2YCC
-
So. Ft. of First Floor:
utilities:Ir"*"rEr"*
-
trI Tcas Pipine
appty:
Shutters
Generator
[-l *,noo*s,/Doors
6\-", r,q(( +o €h,n$W
Gas Tank
Plumbing
OWNER/LESSEE:CONTRACTOR:
City:(rrr-i g,tr<.Q*. Stalei/il
Zip Code: 3'{4{J* rax:
Phone No.'-l'i,_ ,.?, I /: - q )rC
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Zip Code: a].QG I rax:
Name: fi;cI*< t B;-i,<-.
Company: ,v') ij^.,e i rJL"t ,?-tc l;, ng r i4 {
Address: 1.i\ Iiiu fl ii.-t
City: \,le i{; ,u*:rc',h State:,r'c-
Phone No.*l'-')g, ,,lr.q. t*{/
E-Mail; !q4,i" {.*,ei {g".uf '7 I S.: @ tlfirJ$, l,( {)tvt
State or county License: (L(- ,-t. Qr)ri) 51q Srrq s*
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
owNER/cofttTRAcToRAFFIDvlT:ApplicationisherebymadetoobtainaBermittooo.r,"*ffi
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Countv makes nrwhiiTii;;:#;'n tiliri';?{.iitf,i3ifrE'ij!ffi}tri?iilli""i$l?,:fli#Hl.frHt'i',srt$triH}FJ#,ftil?i#iii,"f.;lrj"friJin.'Iitlh
structure. Please consuh
ln consid.eration of the Sranting of this reeuest.d pqrmr!, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building coAes anO 5t. Lucie Couniy Amendinents.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structuret swimming pools, fences, walls, signs, screen rooms and accessory us€s to another non-residential use
STATE OF FLORIDA
COUNTYOT I r*t>rl+*l Er u,ae-
The foryoing instrument was acknowledged before me
this ff-day of t\A*tzlA,zo_lp ay
,l^\4t{Ar=L A T3Uu/G' :I.fz-,
Name of person making statement Jf@OR Produced ldentification A
Type of ldentification
praduced Flpr? t lX DfZ t u t*zb Llbl)€
Public- State of Florida )
STATE OF FLORIDAiaunw or -ih.l D\ rarr Prt E\z-
The forgoing instrument was acknowledged before methis.jl-.dayof fitArz4t-{ , za!@ by
i. \^f UyCommission ExpkesO/1d2019
'6op rua' Commisslon Il0. FF 900679
Name of person making statement
Persanrafir-ffiffiIt_ OR Produced ldentification
DATE
COMPLETED
Rev.8/21L7