HomeMy WebLinkAboutWinfieldpermitappALL APPTIC FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
lt
Date:Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 452-1553 Fax: (772) 462-7578 Commercial Residential X
Site Plan Name:Block No.
Project Name:
Setbacks Front Back:Right Side:Left Side:
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Property Tax lD #:
16,rr \L6eee*\.[f\' Y
\otu* \\eor $u1ury
appry:
Ehuo.
I-lr,"o,.,.
Total Sq. Ft of
Gas Tank
Plumbing
Shutters
Generator
n *,noo*s/Doors
tr nsprinkters tr Roof pitch
Cost of Construction: S
So. Ft. of First Floor:
Utilities: l_l r"*", E t"r,'
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
City: 111'fl- Vl UYt43 State:
Zip Code:{}-lt'l-J I Fax:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
city: ktYtSCt' (ff LUL, a'
Zip code: tl4qt \,d2 F-ai:
Phone *"ITJZ- t*1}Emu
e-vrair:cx{Y\e€r {tk&cmfil\ csfn
\,,
State or County License:
OWNER/ CONTRACTOR AFFIDVIT: 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 Countv makes no reoresentation that is srantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv a'oolicable Home Owfiers Asiociation rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with liour Home Owners Association and review'your deed for any restrictions vihich may apply.
ln consideration of thegrantingof this requested permit, ldo herebyagreethat lwill, in all respects, performthework
in accordance with the approved plans, the Florida Building Codes and 5t, 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. lf you intend to obtain financing, consult with lender or an attorney before
work or reco ur Notice of Commencement.
Rev.8/211-7
Signature of
STATE OF
Lessee/Contractor as Agent for Owner
couNw oF
The
this day of
(Signature of Notary Public-tEgtherine lionger
FF172372
Type of ldentification
Produced
(Signature of Notary Public-
Catherine lbnger
iC@uitlion#FF17?J,n
:Expires: OCI 28,2018
BONDED THRU
1ST FLORIDA NOTARYII.C
STATE OF
The fo-going ins
this 3 day of
Name of per5on making statement
Personally Known A* OR Produced ldentification
SEA TURTLE
REVIEW
DATE
RECEIVED