HomeMy WebLinkAboutBuilding PermitALL APPI-ICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Property Tax lD #:
Site Plan Name:
Project Name:
Setbacks Front- Back:
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Right Side: Left Side:
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HVAC
Electric
Gas Tank
Plumbing
Piping tr
Shutters
Generator fl*"* E RoorpitchtrSprinklers
Total Sq. Ft of Construction:Sq. Ft' of First-flgor:
-utirities: l_lr"*"r l lseptic Building Height:
Cost of Construction: 5
ent is required'
State or CountY LiEense:
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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.
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iiiuitriid.'pteb'iE iciniutiwith"riouinome owners Association and revii:w'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 ipproved 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,iwimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
COUNTY OF
Name of Pe6,on making statement
Personally Known .\ OR Produced ldentification
of NotarY Public-
Owner/ Lessee/Contractor as Agent for Owner
COUNTY OF
Type of ldentification
(Signature of Notary Public-
Commission N
db
' -iVafre of pergon making statement
Personally Known X OR Produced ldentification
Ibnger
zCoCIsision#fF772372
idfffiis: Oqr 28,2018. BOI{DEDTHRU
1ST EORIDA XOTARX, tLC
SEA TURTLE
REVIEWFRONT
COUNTER
Rev.8l2l17