HomeMy WebLinkAboutBuilding Permit ApplicationMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit APPlication
Planning and Development Services
Buitding ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
phon", \nz) qaz-ts53 Fax: {772) 467-t578 Commercial Residential
Address:
Legal DescriPtion:
Project Name:
Setbacks Front Back:
-
Right Side:Left Side:
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)$Ste'r'')
Rt(4u) .00
apply:
AC Gas Tank Piping Shutters
Generator
I*,noo*s/Doors
E Electric fletumutng Sprinklers l-l noot E Roorpitch
Total 5q. Ft of constructiop:Sq. Ft of First Floor:
-Utilities: Fr"*", Et"*cost of construction, SW{U Building Height:
PropertY Tax lD #:
Site Plan Name:
lf value of construction is or more, a RECORDED Notice of Commencement is required.
ffiloNFoR:ToSelectfromdropbox,clickarrowattheendofline
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
mittodotheworkandinstallationasindicated.
lcertifythatnoworkorinstallationhascommencedpriortotheissuanceofapermit.+^ L,,:tl +ha <rrhiert structufeI Certlly LltdL llu wvr ^ vr
It*i*:i:;*tr?*,+iltl3"i:ffiflffi!fiHhlfft!,}3,e,",rfi?r#iild'J,H,.lauii:'Hfl?LTlil'li,"rHftdl'iir'i{}if;ilinTttlh
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 approved plans, the rf otiolijuiiJinJioa"s tna Et' 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 mav result ji r":rt3;yJlt H'jTJ:iI"
improvements to y";;'p;;;;;y. A-N;iil" 6iCdrr"ncement must be recorded ar
beiore the first inspection. lf you inten. IJo;I'ii!iitqlU"nluit *ii[lena"r or an attornev before
co i;; ;;;k;-ieiord ine vour N otice of com melcement'
STATE OF FLORIDA
COUNTY OF
Name of Persgn making statement
Personally Known h- On Produced ldentification
Type of ldentification
(Signature of Notary Public- Sta
Signature of
STATE OF
COUNTY OF
/Contractor as Agent for Owner
Name of Person Paking statement
Personally Known l)L On Produced ldentification
Type of ldentification Y
Produced
(Signature of Notary Public-€Sthemel(onger
lruEision#FFL72372
ocI 28,2019
BOI{DEDTHRU
lST PI.ORIDA NOIABT tLC
VEGETATION
REVIEW
SEA TURTLE
REVIEW
SUPERVISOR
REVIEW
ZONING
REVIEW
Rev.8/2117