Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 y1. )7i Permit Number: 07 Q:�/ .tsq+ PaY&as-war, n, RECEIVED .'�:. . Building Permit Application JUL 19 2018 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 ,Jt. Lu le � nty, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial ' PERMIT APPLICATION FOR: PRPt�SED IINPROVEMENT Lt*?CATI`O r/ Address: ��C Legal Description: Property Tax ID#: I q2 I ' 903' 00-V- ©CD�7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILS© DE1SCRIPTI©N tJF WORK: s p CQNSTR�UCTIOIU 1NFORM-ATION: Additional work to be-pe orme under this permit-c ec a tat appy: _Mechanical. —Gas Tank —Gas Piping Shutters ` _Windows/Doors Electric _Plumbing nklers 'Generator , Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $W (Q, Z'J Utilities: —Sewer —Septic Building Height: OWNNER/L@00EE: CdNTtRACTR: Name KM64 --alu o b Name: Address: qwi� (TCCld-!2( 't�`2- Company: City: t—per�--e— State:-`I—L Address: Zip Code: to Fax: City: State: Phone No.( 7a-07 57 Zip Code: Fax: L ail: O �� dVl Phone No n fee simple Title Holder on next ge(if different E-Mail the Owner listed above) State or County License e of construction is 2500 or more,a RECORDED Notice of Commencement is required. SU�PLEMINSIT o C® IM 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 commend or recording our Notice of Commencement. Signat re of Owner/Lessee/Contractor as Agent f = e= Signature of Contractor/License Holder STATE OF FLORI STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing ins rume as acknowledge eforE ems I=:, The forgoing instrument was acknowledged before me this day of 20 by a-`- this day of 20_ by (Name of person acknowledging) N (Name of person acknowledging) (Signature of Nota ublic-State of Florida ) (Signature of Notary Public-State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Id ntifi i n Type of Identification Produced Ce Produced Commission (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 712014