HomeMy WebLinkAboutNickersonpermitappLE INFO,MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit APPlication
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772\ 462-1553 Fax: (772\ 462-7578 Commercial Residential
Address:
Legal DescriPtion:
Site Plan Name:Block No.
Project Name:
Back:
-
Right Side: Left Side:
\D
.eD
HVAC
Electric
Gas Tank
Plumbing
as Piping Shutters
Generator
n *,noo*s/Doors
E tr Esprint<ters tr l-l noor E Roorpitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
-
Utilities: I-lr"*"r. Eruo,,. Building Height:Cost of Construction, S {
Property Tax lD #:
Setbacks Front-
If value of construction is or more, a RECORDED Notice of Commencement is required'
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
owNER/ coNTRAST6R AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated'
i certlfy tirat no work or installation has commenced prior to the issuance of a permit'
St. Lucie County.makgg no repre.sentation that is granting a permit will a,uthorize the perrnit holder to L:tdr:lfriclibiFitrStfiii;il1l1nwhichisinconflict*itn."nv-Jpiriili;fe*'Hijd;bwfiL?iAiBociaiioniuies'bvlawsorandcovenantsth
structure. prease consurt with liour Home ownert[!U:i:rii;1';;b'ieii6wGiii a-iea ioi-anv restrictions r'rihich mav applv'
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 rhe .fi;;;:J;[;r, ifie iioriai Building Codes and St. Lucie countv 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
Name of person making statement
Personally Known \/ oR Produced ldentification
(Signature of Notary Public- Sta
,.- Catherine lbnger
iiC&iblion# FF772372
E:rpires: OCT 2& 2018
Lessee/Contractor as Agent for Owner
STATE OF FIORIDIQ\ i r , ^, /.r
COUNTY OF D'\ . L,IA\IYZ
Name of pqrspn making statement
Personally Known \ OR Produced ldentification
(Signature of Notary Public-
Commission N r': Cpruqitsion # FF LT 237 2
,'.' ErA*lft s: OCt 28, 20 18
BOI{DEDTHRU1 T FI,ORIDA I{OIARX LLC
SEA TURTLE
REVIEW
SUPERVISOR
REVIEW
FRONT
COUNTER
DATE
COMPLETED
Rev.8l2h7