Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f( Date: Permit Number. Mb U v � :C� - y Building Permit-Application ob Planning and Development Services Building 9 and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)4624578 Commercial Residential PERMIT APPLICATION FOR: PRGRO� ED INPR©UEMENT LOCATION: Address: 0/ .�Lt.vc4��� ,Q Ly-,), 77: /�e�CE, F'L 319 Legal Description: �,� �l�L�-� L ST.n7C`S- (�� ro7 -/,7 ,4,5 o K,aga.3, l6;2 a!'s-U goy �2W---2395;1;7As=;Z3so) Property Tax ID#: 3YOA 600 ^(7r0-©0DT 6 ACC/ 4;7 .,273y/ Lot No. ,' CO Site Plan Name: ,,,/,Q Block No. q 7 Project Name: kr�ti LSO ti R ri Setbacks Front Back: Right Side:—*L-- �y�L Left Side: tON ti D TAILED DEAR PTf« E W4RK• r - 6--X kC T1W rel CG. --6�'" � m �w Ce: - 1, - ♦ - C'®NSTRRUC N I1NFOR+NATION: Additional work to be performe un ert is permit-c ec, a tat Mechanical Gas Tank Gas g Pi in ` " Shutters Windows/Doors Piping' Electric Plumbing —Sprinklers 4 Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: V Cost of Construction: $ ./ �D.r Utilities: —Sewer _Septic Building Height: OWNER/LASS E: CONTRACTOR: Name . 60 OLSON Name: )5_04/,K {?,4&A�-/ „ , , AddQess: Company-[&EFt"?io,� 18 LW1LJ t-f1S j City - '�,� l`,,C, V ' ^ °"'fi '".; State: L Address:r) l3 -�;W WHISAeRL A(464 L Zip Code: Fax: City: . e- `'(-S:j State:_ Phone No. !ynT? -- Zip Code: 3yQ g.U� Fax: A, /A E-Mail: A Phone No -2 -2;L- 9 f3`r°-06 1'-/ Fill in fee simple Title Holder on next page(if different E-Mail r.A il,-%L ,,,,. c�-`7 jC( C� i)(>L, Cow. . from the Owner listed above) State or County License e R C DSA OS2 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S LE.MEN L CONSyTRU TIC?N LI'. N I.AW LN -4RM01 DESIGNER/ENGINEER: //Not Applicable MORTGAGE COMPANY:. _4-17ot'Applicable Name: Name: Address: nl Address: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: :L—Not Applicable. BONDING COMPANY: _ of Applicable Name:r ' - Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFI.DVIT:Application is hereby made to.obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County 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, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review 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 with the approved plans,the Florida Building Codes and St. 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 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 our Notice of Commencement. K11 .4..1J1 P Signature of Owner/Lessee/Contra or as A for Signatur of Contractor/License Holder STATE OF FLORIDASTATE OF FLOR�/ COUNTY OF �`L"L Xcc,n COUNTY OF I I 1 CiVI Th f rgoing instrument as acknowledgVbefore„m ."'In- The fogoing instrumentwas acknowledgTby efore me th day of `f w-1 20 .by w g= thisday of G - 20 pV �;J lira f t_ (Name of person ac owledging) (Name of person acknowledging) 1�zl W1 (Signature of 06tary ic-State of Florida) L/ Aig ture of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Idents atio 'Arg,,, LINDASCHRAM Produced Produced �-- is-state of Florida Commission#G 171884 Commission No. (Seal) Commission No. +f .�;' My Comm 11,2022 Bonded J roigh Naiona Nwary&,. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW' REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.