HomeMy WebLinkAboutBuilding Permit ApplicationBLE fNFq MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit APPlication
Plonning and Development Services
Building ond Code Regulotian Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: Tllz) soz-ts53 Fax: (77 2) 462-L57 I Commercial Residentialj--
Address:
Legal DescriPtion:
Back:
-
Right Side:
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lite,\'Le
aootv:
HVAC
Electric
Shutters
Generator
fl*,noo*s/Doors
tr tr tr [-l noot E Roorpitch
Total Sq. Ft of Construction:So. Ft. of First Floor:
Utilities: Fr"*", Et"*Cost of Construction: S Building Height:
Property Tax lD #:
Site Plan Name:
Left Side:
lf value of construction is $ZSOO or more, a RECORDED Notice of Commencement is required.
prnvrrr APPLICATION FoR: To Select from dropbox' click arrow at the end of line
,ir'rWi"W
E-Mail:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next Page ( if different
from the Owner listed above)
permittodotheworkandinstallationasindicated.
lcertifythatnoworkorinstallationhascommencedpriortotheissuanceofapermit.
i,,'iriiis,'"ffi1tilii3"#:fJ,i''si H!dHh*5i11}3,s,"i,if'',+iil{#HTiTI'":ffl?L+}i!"!,"llil,['#lli!^F'i{ffiq'{i*ttl'".'structure. Please consult
ln 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 ,;;;;;Eiil;t, iri" iiotialCuiiJingcoaes ana 5t' Lucie Countv 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 mav resultin Ht[J;'Jlt H!TJ:'I"
improvements to your property. n ruotice of Comr"n.ement must be recorded ar
before the first inspection. lf you inteno io outain financing, .oniuit *iih tlnder or an attorney before
commencing work or record r Notice of Commencemen!
STATE OF FLORIDA
COUNTY OF
Type of ldentification
Produced-
(Signature of Notary Public-a)
Catherine lGnger
BONDED THRU
1sT TLORIDA NOTARY II,C
rCE I)L
Name'6f pgrson making statement
Personally Known X oR Produced ldentification
Lessee/Contractor as Agent for Owner
srATE OF F[ORIDA Qr I $ r n, rzcouNTYoF ut ,LAA\,tu--
(Signature of Notary Public-
Commission N w'[28,20L9
Na-me of per5gn making statement
Personally Known X OR Produced ldentification
SEA TURTLE
REVIEW
DATE
RECEIVED
Rev,8/2117