HomeMy WebLinkAboutLegreepermitappUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL j4982
Phone: (772) 462-L553 Fax: (7721 462-1578 Commercial
-
Residential
Address:
Legal Description:
Site Plan Name:Block No.
Project Name:
Setbacks Front- Back:
-
Right Side: Left Side:
&ruo.
l-l etectric
Gas Tank
Plumbing
f]0,, Piping
l-lsprintters
Shutters
Generator
[_l *,noo*s/Doors
tr_tr l_l noot E Roorpitch
Total Sq. Ft of Constructiou
Cost of Construction, S:-l'
So. Ft. of First Floor:
Utilities:'n r"*". E t"*Building Height:
Property Tax lD #:
tf ualue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
City: State:
Zip Code: 1'{ r tlu" P.r,
Phone No.- | I L*Y> l2:,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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 reDresentation that is erantins a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv a'oolicable Home Owilers AsSociation 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 which may apply.
ln 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. lf you intend to obtain financing, consult with lender or an attorney before
work or recordi r Notice of Commencement.
Name of per-sor1 making statement
Personally Known >q*9R Produced ldentification
Type of ldentification
(Sighature of Notary Public-Ibnger
FF772372
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BONDEDTHRU
lST FLORIDA IIOTARI LI.C
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Name of pFrson making statement
Personally Knowr(- OR Produced ldentification
(Signature of Notary Public-
Catherine l(ongef
Commission N #FF1723n
Type of ldentification
FRONT
COUNTER
SUPERVISOR
REVIEW
VEGETATION
REVIEW
Rev.8/2/17