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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©ate: Permit Number: • 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: To Select from dropbox, click arrow at the end of line I PROPOSED IMPROVEMENT LOCATION: I Address: Legal Description- A,w,, t S—MqPfl _ 8)Y_05 -d-s 1 4-I(Abp-3 ? Property Tax ID #: 00-1-0C_ •- U Lot No. [-l- Site Plan Name: 't(Lk,--UnJ--z,"-_Tr4e.4-16-:Block No. 6'57 Project Name: � .fin I Q � C Setbacks Front Back: Right Side: Left Side: IVWL T � �'iF�a/,�'rr°.��'d!. -p Name.-eca,,,,,r�� ..��i r�-rc•; � - Name• - z--h� .� of) - f � 1 Company: C NST €tJCTION N ORaVIAT11". Additional worK toe e orme under t-checkispermit a appy: 11WVAC 11 Gas Tank OGas Piping 11 Shutters ❑ Windows/Doors 0Electric 0 Plumbing Sprinklers EiGenerator l=J Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ S Ft. of First Floor; _ Utilities: USewer ®Septic Building height: OWNER/LESSEE: CONTRACTOR: Name.-eca,,,,,r�� ..��i r�-rc•; � - Name• - z--h� .� Address:77Cf Company: City: r' State:i' C. Zip Code: 3(LfTP- Fax: 1J %r'i- Phone No. P19- Address: t1of s City; r -t, t `Q� G State Zip Code: 3C%Zg",FaOl�'- ULA - 11rignr Phone No. 7'1.1- -Ae E -Mail: , r . r E -Mail: L 18- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- DESIGNER/ENGINEER: _ Not Applicable Name: Address: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 commencing work or recording vour Notice of Commencement. eel Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDAS COUNTY OF The forgoing instrument was acknowledged before me this '} day of r) Q n -e 201A by Name of pe on making statement Personally Known OR Produced Identification Type of Identification Produced n)', (Signature o to c- State of Florida) Commission No. ° (g (Seal) REVIEWS � FRONT NING COTER I R�ViEW [ S REVIEWOR RECEIVED COMPL Rev. 8/2/1 ' Notary Public, State of Florida *°r"*� Commission No. GG263239 '�ww Commission Expires 09130/2022 Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF "- The forgoing instrument was�acknowledged before me this day of P r,— 2(f� by L Name of Person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature ofotary P" cctaatte o F ori a ) Commission No.� ��C�q (Seal) PLANS REVIEW I VREV EW ON I SEATURTREVEWLE M EVIEWVE Notary Public, State of Florida Commission No, GG263239 Commission Expires 0913012022