HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 -/.Z 4 Permit Number:
•
auiliaing rermtt Hpplicavon
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERM I APPLIC;A I ION FOR: To Select from dropbox, click arrow at the end of line
[,PROPOSED IMYROVEMENI LUC:AIION: -- ---- -- - - �
Address: 3oG
Legal Description:
Property Tax ID #: ,37 a ✓�— 70� ��� �%®r� Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
`DEIAILED DESCKIP110N OF WUKK:
CONSTRUCTION INFORMATION:
Right Side: Left Side:
Srcc C%AASC_
JWruvai VVV1 K woe er rc)r rneu unuer uns per HIR — a
HVAC Gas Tank ❑Gas Piping
11 Electric 0 Plumbing 11 Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
UShutters E]Windows/Doors
Generator F]Roof Roof pitch
Sq. Ft. of First Floor: _
Utilities: 0 Sewer a Septic
OWNER/LESSEE: CONTRACTOR:
Name 0aldtO X • _Ve<//Qtll
Address: o-� 61� � o
City: / ILAAi State: IVY
71
Zip Code: /0�"6 D Fax:
Phone No. yi!�' 615W
E -Mail:
R11 in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name:
CUVCT(S FSN4LkvtcnS
Company:
6(,k STo m A,c- s u s t ems t r-
Address:
144"15 'S E �/; 1-1 aQ -.c �r ee r1 i
City: t e RT St . L vct State-
tate:Zip
ZipCode:
a+? 52. - Fax: 77,2- j 3 <5- i 9 lc a
Phone No.
11 a- 3 3:5- 3 -13 1
E -Mail:
Cu Stc'Ir sus £ Cco1 CC -01
State or County
License: C C 519
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
052$46
SUPPLEMENIALLUNSIRUC IION LIEN LAW INLURMAIIUN:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
i Zip: Phone:
1
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zfp: Phone:
1 certify that no work or installation iias commenced prior to the issuance of a permit.
St_ Lucie Countv 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, b%,--la-,-.1s or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and rev e:v 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 vrith the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foliorling building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accesson, 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 work or recording your Notice of Commencement.
S
Signature of Owner/ essee;`Contractor as Agent for O,vner Signature of Contractor/License Holder
STATE OF FLORIDA j STATE OF FLORIDA r� -
COUNTY OF 1 COUNTY OF L c%Cir'
i
The forgoing instrument teas acknowledged before me l The forgoing instrument was acknowledged before me
this J! day of �/fGt yvL' 20 L, this =day of ��L 6 20 * by
` L i,i t" �? � '.- r -t f3'f fy'1C%fel �( LC I�t,�l J � l� f'Yl t•"r1L• (1 �
(Name of person acknowledging j (Name of person acknowledging)
i '� f� �/
�
(Signature of Notary Public- State of F a } ( (Signature of Notary Public- Stat of r"lori
Personalty Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced_ Type of Identification Produced
Commission No. {rf G7 0 5,2 Ct 1`: `ga CHRISTINE BEN emission No. Li L7 i� c J 7 1.
ii rq 4
MY COMMISSION #f G (152546
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE•fA T ION SEA TURTLE fAANGROVE
COUNTER REVIEW REVIEW l REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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052$46