HomeMy WebLinkAboutbeckerpermitappUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit APPlication
Planning ond Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (7721 462-7578 Commercial Residential
Address:
Legal Description:
Site Plan Name:Block No.
Project Name:
Setbacks Front- Back:
-
Right Side:Left Side:
3 Oftil u+xe"f,l I
permrt -apply:
AC Itr
Gas Piping
Sprinklers
Shutters
Generator
n *,noo*s/Doors
E Electric tr tr Roof pitch
Total Sq. Ft of Construction:So. Ft. of First Floor:
Utitities: E r"*ur. Et"o.'
Property Tax lD #:
lf value of construction is S2SOO or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Zip code: :t'Hl$14.= - -. Fax
Zip Code:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next paCe ( if different
from the Owner listed above)
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is erantins a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpolicable Home Owters Asiociation rules. bvlaws or and covenants that may restrict or prohibit such
structure. Please consult with iour Home Owners Association and review'your deed for any restrictions Which may apply.
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencins work or r Notice of Commencement.
r/License Holder
STATE OF FLORIDA
(Signature of Notary Public- State
Commission N
ocI28,eoffi
BONDED THRU
ISTTLORIDAHOTAR'
before me
Lessee/Contractor as Agent for Owner
DA
COUNTY OF
'€Stherlne Ibnger
BONDEDTHRU
1ST FI'RIDA IIOTARY tLC
was acknowle:dgq{ before mezd$ bv
Type of ldentification
(Signature of Notary Public-
DATE
RECEIVED
Rev.8/21L7