Loading...
HomeMy WebLinkAboutBuilding Permit Application i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CCEPTED Date: ermit Number: I 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,: PROPOSEQ 6N�' ROUEME T:LOCA IaN: Address: —+0-k/< �o jj 1 O)c Legal Description: I Pr:opertyTax ID#: :�T © Lot No. Site Plan Name: Block No. Project Name: SI tbacks Front Back: Right Side:. Left Side: DETAILED M1 ON OF WO 0l LDld6 C—, 0011-' .,j 6E ou C� STRUCTLON 11. 1-0 N ATI®N. A,dditi na wor to a pe orme under this permit–check a that appy: echanical —Gas Tank _Gas Piping —Shutters =Windows/Doors Electric —Plumbing =Sprinklers _Generator- _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. f First Floor:: Cost of Construction:$. r �• $� Utilities: — ewer —Septic Building Height: 0 NE /LE-��5 yE: GiDN RAC+TOR: Name "fU�A L Name 104 lGZ C"0 %COSM Address: A-W-d Company: eSCS pyC City: && State: Addres: 6� L-W 0%,Sl�N Y Zip Code:I o2c Fax: City: Nj N - State:/ Phone No. X02 3��' �C� Zip C.de: Fax: E-Mail: Phon No a IS Fill in fee simple Title Holder on next page(if different E-Mai Com{ cp OkL�A3eo P� GrmllZ b �(007 from the Owner,listed above) State r County License QQ I if value of construction is 2500 or more,a RECORDED Notice of Commen ement is required. S COMM- LE�MENT L C NSTR CTIQN L fN LAW IN'FOR+MATI'ON: 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 commenci; ork or recording our Notice of Commencement. Signature of�ORIDA er/Lessee/Contractor as Agent for Owner Signature f ontrac r/License Holder STATE OF STAT F FLORIDA ` COUNTY OF COUNTY OF ha , The forgoing instr ment was acknowledged before me The fo going instrument was acknowledged before me this 1. day of 201Z_ by this day of 20-q by 1ZJvNyr_1 I% wcxb UcLtell� (Name of rsori acknowledging) (Name of person acknowledging) (Si ,tire of Notary Public-State of Flo da) Sig ature of Notary Public tate of Florida) Personally Known �,`atl �roduced Identific�tiQ�] �ll Personally Known OR Produced Identification, Type of Identification? j _ Notary,'ub;1c-State of lyl Type of Identific" ' U,•,= Florida ,�"par . _'1�"�' Produced c,:1 �; ,r, + lv1y Comm, E>:Pires Dec 20,2018 Produced— F * - .�irHt7Uq ING Commission FF 177249 '. ' :� c Notary Pu RAM )+ "" Banded - biic S. c Commission No. — - th($eah)3tionalNatar Commission No..=�. r.fi My Cnmq, Ex (S��l}lorrda yl�ss I ,, o•,, pins Dec0,20f8 Commission 7r FF 177 Bonded than.r. 24g wi ivol:ry,ig REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE -MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED -Rev. 7/2014