HomeMy WebLinkAboutBuilding Permit ApplicationI
ALL APPLIC LE INFO MUST BE CO LETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Planning anc Development Services Building Permit Application
Bullding and ade Regulation Division
2300 Virgini Avenue, Fort Pierce FL 34982
Phone: (77 462-1553 Fax: (772) 462-1578 ' Commercial
Residential _
PERMIT A IPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Descrip ion:
Property Tax #: -IQ
Site Plan Na
Project Name _Rcx�_kh1' 1 Ce
Setbacks F nt Back:''
Right Side; Left Side:
L_ j Electric
Total Sq, Ft of
Cost of Conctr
reP1a-Z
=i iuuneo U
Gas Tank
Plumbing
uction:
$
OF 3Q qc�l �Iec1�nL......Y�Cr _
F=J iim— LuieCK all aPPV �
Ga: Piping _Shutters 11
Windt
Spnnklers Generator L�1j
_j Roof
SFt, of First Floor:
_—
Utilities:]SewerIjSeptic Building
Address: q Name: L
City: f�-s�� Company:_ (Y�i trt
Zip Code; G5 State: Address: (nom
Fax:
Phone No, City: Pry
a • aa0(-
E -Mail: Zip Code: 3l
Fill in fee simple Title Holder on next Phone No,
I' ge (if dif(arent E -Mail:-' '—�
from the Ownt r listed above)
iState or County License:
If value of const uction is $2500 or more, RECORDED Notice of Commencement Is required
Fax:
No.
Nam e: �� �" """" MORTGAGE COMPAW: Not Appll bie
Address: II �` Namel
city: 54pficak
Address:
Lp� Phone: WCity: StateZip:FEE SIMPLE �tTtE HOLDER: 9pNt)1NQ COMPANY:Marne:_Notgpplic le
Address: Name:
City: I Addresa:
Zip: i! Phone: City.
Zip: PFtone:
Icertliythatn fwork orinstallationhas lrnenc4dprior tothe lstuenceofnpermtt,
W ty�e Lauri ekes riaroprese 1#tion a Is ratttin a ermlt vri0 s �riesthe ermlt holder to hulld thesuhJert u ore
whidt t In 1411 with any applira tae B B h uH7; t7t4 rche ter
structure. Plea consult with your me Asgptl d°d1ynd res y w5 jad foo vny a rt ktiarb tvhleti may�°f Prottlb t strch
In eonsideratl of the granting of this f d permit t do apply. !
in aeeerdancs thea approve h��Yafreethat Iwid, h) an respects, paaform the work
Pp plans, th lortda L IdIng Codas and St, Lucie COuntyAmendments,
The faliowingb IlaingMrrdtappecatlons
accessory stfuc rear swlmmin ea lt7 Wrn is a f1dl tont:urrawV raylew; room additions,
B Poala, re Waris sign's, screen rooms andacrossofy useato another no* -residential use
WARNING 7 OWNER: Your failure Racard a Ploticeaf Cor"gFicatnettt
imp averse to your property, A rice of Comrnance alit must be recorder! itnd posted ingt twke
Ja f6r
beF a the F! inspt;ction, (f you d to obGan finencfrlq consult wit lender Oran attorney before
coni encin din Notlee of Commas crit I
We iargaing I trument was attaafwi ¢elore me hlg f RW�pS k,,Wument Was acknowledged before me
We to+—day i /�ti 2a b� V 4y of i'Gl� 101sr by
" jj
Name orp ekrMwle
ung ( (None of Pecans eckit0udedginlL j
F[t[J'l
i5lgAatureof txry Puh11C. tateor 0 ( {Slgttgturs of Nwary P Hrr StateorFiorlde j
Tersanal1V Kn niN
"" I3R Produced I reatlon _,_ Per—Ir Known OR Pladviced Identlfkstlan
ypeofldentiN tionlanModuced Type oflderrtlemdanProduced_
CommlatJon �0�1if`9 COmfnlsssonNc:64'&7//SY c4a,n
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