HomeMy WebLinkAboutBuilding Permit ApplicationFOR APPLICATION TO BE ACCEPTED
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Building Permit APPlication
Plonning ond Development Services
Buitdini and Code Regulotion Division-zii irsnn Avenue, Fort Pierce FL i4982
ii.".,irii) 452-1ss3 Fax: {772) 462-1s78 Commercial Residential *
Address:
Legal DescriPtion:
\ne
rct ruo.{flFJ
Block No.
Site Plan Name:
Project Name:
Setbacks Front- Back:
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Right Side: Left Side:
PERMIT APPLICATION FOR:To Select from dropbox, click uttoY't th::yf[X
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Seesn,cD \,La_&;r \rY*e
permIt -apply:
lll *,noo*s/DoorsEhuo.
fle t".tric tr
Gas Tank
Plumbing
l-lom Pipine
nsprinklers tr
Shutters
Generator flnoot t] Roorpitch
Total sq. Ft of construction:Sq. Ft of First Floor:
-
utif ities,E r",r., E r"*Cost of Construction: S
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
aaaress[fl04
cry' Po(t tdr(\t i-.{lC-.C glate: f\=
State or County
Zip Code:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
rmittodotheworkandinstallationasindicated.
lcertifythatnoworkorinstallationhascommencedpriortotheissuanceofapermit.tn hr rild the subiect struCture .
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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 approvid plans, the rf otia5ij'iiiine ioa;iina it' 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 f"H$'Jlt HtjTJ3,i"
imorovements to your property. A Notic"iiCo*r.ncement must be recorded ar
beiore the first inspection. rf you intend i"-;bdi; iinancing, .""!rli*it[l"n?E or an attorney before
;;;;;;;i"g wort'oi reiordins Your Notice
STATE OF FLORIDA
COUNTY OF
Type of ldentification
Catherine Konger
ocI zg, eoffi
BONDED THRU
$T TLORIDANOTARY,IJ.C
tng
Nahe of Pe.rsgn making statement
Personally Known Y- OR Produced ldentification
(Signature of Notary Public- Sta
rl Lessee/Contractor as Agent for Owner
Name of Persol making statement
Personally Known --\A- on Produced ldentification
Type of ldentification
BOI{DED THRU
lST FI.ORIDA TIOTARX, tLC
(Signature of Notary Public-
VEGETATION
REVIEW
aev.8/2lLt
JOSEPH E. SMITHT
Frr,E # 4439927
CI,ERK OF THE
oR BOOK 4136
CIRCUIT COIJRT - SAINT LUCIE COUNTI
PAGE 2005 ' Record'ed' 05 / 24 / zOtB 02 : 50 : 21 PM
lnterestlnpropert/: Lr,Lx Ef,- ,
*i*iind lCj,"rs ort . ,imptilE;[otUrr {rf afferant from owner lirted above):
Tex Follo Ho,
State of tloridii f,ounty of st. ltlcie
The under$r$ed heniby gtves notrE. that tmprovemect lvrlr be made to cenalft real proilertI; and in arcordance wlth chtFter?I3' Florlda ttatutes;
ihe {ollowing lnformatloa b prorlded ln t}ris Notice of Commenctment
Oflner
Neme
If the Lerrce conHasttd to, !h€ lmFrovemstt:
Address
tontractor'r .Hame:
Contlactor
(ttgnBlure of lhhry
:4
ll,<?
siirEty lif applicablt, a copy of thepayment hoM lt attachtd): Amount'of bond: $
-
Phonenumb€I:- -Nameandaddressl .-", ,, ,, : , .
linder [tam'e: ,. PhonE Number': ,
.Lende/s.addressi. -
-713il1{1f {al7ii Florlda Statutes:
.NamE:' Phone Nurabei:-
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Fi,
v
o
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,eolopersofi! rylthln the strte of Florlda designated by owner upgn whollt notites or other documsnts may be serv+d.ar Provtdeu bv' stfi$ ff
ruloil
EaEEB
IJUour, -
hedditiontohiii5elforherself;ownErdesignates..,-jl.---:_ioreceivE.*"EEEE'ar, aD F
ljenofs Notice erProvided ln iection 7f3.$ititb), Floride ststutEs'
Fh;one number ol peisoh or onttiy deslgnated.Q a,trner:
Expiraflon daie of nsticF Ef iommencement; (the explratlon datb may not br h€foie the cornpietion oJ.conshuctlon and flnal payment to tlt€
.contrectbr, but$rlll !e 1 yeal ftom the datd of retordln8 unlEss a iJlfferent date b
WARI,IING TOOWNERI ANY PAYMENTS MADE BYTI'IEOWNTRAFTIT,THEIXPIRATION OF IHENONff OF COMMENCEMENTAf,ECONSIDEfiEq
i"rpnopEr pa"n,lrrn urrtprr +reprER z1g, pART r, sEcrIoN ?13.il!,rLoRrDAfraruTEs, AND cAN RESULT lH Yo{Jfi PAYINq TwrcE Fofl
irr,tpnovrurNrsToyouRpRopERTy-A NonEE oF coMMENctMEflT MUsr BE *EcoRDED AND poslEDofl THEJoB slrE BEF0RT flE HBsr
tNspEcrloN. tF you tNTENo TO OETAIN FtNANctl.tG, coNsurr wrTt{ YouR LENDER OR At{ ATTORNEY BEFOftE coMMENClflG WORK OR
RFCOftDING YOUR
'.IOTICE
OF COMMENCEMENT.
under peinalty rif periury, i declare.that I hsvs read the loregoing notice pfrommeilsement and thlt the {acts statEd thEr€ln are ltuF tq thB be*t pf
my knowhdge and bellef.
berore me thrsZ4 ary orfflfl\, 2irB
,, C\^X\g.€- ' t",-
Tme sf auth0rity {e.E'oifl cer,trustee)'was executied
* !-"rr*;;O*.e/, ., LessEe's Authorized Officer/Olttctor/eirtnqr/Manrger
Persorally kno*nfor produted ]dentif icrtion-,
[PThi TYpE, OI TypeofldentiflcatjonProduced ,: