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HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ;.- �� - •ars �+;»�: '� ,,. r • Building Permit Application 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 PERMIT APPLICATION FOR: Address: g1'9 0 Juneberry C-'(- 'FL. 3LM $ Z Legal Description: L p©`C a.g U� c1'/GtYI�� d u- -71 Property Tax ID#: ti�L/ u'�' �63y���' U� - J Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ETTAILED- "'O X: . q-VAI P&&Kage Alt, Wh tf 6hcnye- mi-f Sarni tor ,Sarn e- itiona7, 55- I work to be performed under this permit-check all that appy: J Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 5�oa , Utilities: —Sewer _Septic Building Height: Name C6 Brine, A . Pxbh Ksov► Name: M u( n u Address: ! 00 Jane 6-erri 61>F Company: G-rY -'L 6 M1ITY 4tv .01c- City: State: F-L- Address: L'lY Zip Code: 3 4 1 Fax: City: �Q✓ L . State:—Et- Phone No. Vez 7&1—6 66 5-- Zip Code: Fax: E-Mail: Phone No � S-2-11' 1 o3 9 r Fill in fee simple Title Holder on next page ( if different E-Mail Gtr(anc{ Cacn!Y A" � �rm ,CbtNL from the Owner listed above) State or County License c-tTC �1 3 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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 commencin rk or recording our Notice of Commencement. �h_%_1 Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF LyZ't COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this*2Ldayof SyYu 20a by this day of 3 ­ 201!!�by vt'� /? )L (Name of person acknowledging) (Name of person acknowledging) //"/W, A� A -aV4/x� (Signature-of Notary P lic-State of Florida ) (Sifrivature of Notary Pu c-State of Florida) / Personally Known OR Produced Identification 174PersonallyKnown OR Produced Identificatio6�:_ Type of Identification Type of Identificatio Produced p °_� duced 3L 1f--2- 4. NCommission No. (Seal) Qom}a mmission No. (Seal)C2 �a h kt �.a .v�e REVIEWS FRONT ZONING S }i PLANS VEGETATION SEA TURTLE COUNTER REVIEW a REVIEW REVIEW REVIEWS' o` DATE o 0 RECEIVED `' 41 V �,.�„�w..,. DATE COMPLETED b'