HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Perm T Numoe r:
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3uiiaing cr•a Code Recuietion Division
2300 lirginic Avenue, Fort Pierce FL 3498-7
Phone. 1772j-52-1553 Fax: (772!451-1578
PERMIT APPLICATION FOR.
4ddress
Legal Description.
Proper -y Tax ID
Site Alen Name`-
P roect Name
Setbacks Front
Building Permit Application
Commercial Residential
Baer: Righ Side.
I
Left Side.
Lot No
Block No.
lce Fir U2 —
ditiona wo to epe ormed under lmis per
ZvVindcws/Doo-s
Mechanical _ Gas Tank
— Gas piping
_Shutters
._
-i�--��.i^.�
'
SPrinki?r5
_ 6e C2 raLe�
^CO
Electric ��
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—
Sc
J
`^"t. Of
-C2! Sq_ -to I Construction2
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Utilities.
—Septic
Building Height, _
COSI Of Cons-,, r: 5 �J�l/Yl )
_Sewer
OR 1. M i1 ff
0
Pnorr
E -Mail.
Fill in fee simple Title Holder on reit page ( if different
from the Owner listed above)
Name: tj( Ci -=A1 11 LA, !-i't,
_t�� Prcc: sia�
i
Company: a r ' E�T.=eq .>- txcv�•� 'Le ice.-�'
Address: 1105 nawL i
City: lr'd«1 }�a� i l�e<cr� Smte:_��
lip Code'. 3L`r3-7 -ax: 321- %77- L�G344
Phone No. 77" 337-41470
crate or County License
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ ENGINEER: _ Not Applicable 1 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address I Address. _
C:TV State: City: Stave:
Phone:
Zip: Phone: Zip: _
FEE SIMPLE TITLE HOLDER: _ Not .Applicable BONDING COMPANY: _Not Applicable
Name: j Name. _
Address Address.
City City'.
7i P: Phone: Zip. Phen=.
ry tha: no work or-installa5on has commence, onor to the Isiuc':nC2 of a p2rmtt.
$ 11Cic Courf v malies ro represe'1 caion -,het is a,anting a p .mil will a6 hori•e .he re ^t- •Jldei w build -he ub Tit uC 'fe
s n conflict with any apolicabi_ Home owners Association rules. by: ws or and oeer-nts hz m-y res 1 . �. pfbh. bi. 4'Cb
wh�cr
structure. Please consult with vour Home Owners_ ASsoC'wtlon arc review your deed for anv restrlchc ns which may appiN.
In consiceraL:or of the graniing o'thls requested er rnit. I do hereby agree ir•ar! will, in all reso=c. s, per?orm the work
In accordance w;th the approved dons, the Chriia Bulld!ng Codes and St. Lu CIE Coun , Lmendmen's.
he following building permii aGPiicaio. s are exempt from undergoing a fuji corcurr ncy -eview: room additions.
accessory 5iructwes, swimming poo:_, fences, walls, signs: screen roo.-ns and accesso-, • s s m =_n,,.h_., i-a—residenzia, cse
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 ousted on the jobsite
before the fist inspection. !f you intend to obtain financing, censuk with !ender or an attorney before
Comm n worK or reccKd`^,g your Notice of Coma creme
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Signa•u re of onz. a �cr;'Licensa
_ Signature of Owner/ Lasse_, gent Holder
STATE OF FLI STATE OF FLQ�I D�A r
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COUNTY OFtd : COUNTY OF
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R-V'EVlS FRONT �ONWG SLPERVISOR PLANS VEGE1A`�0!v - SE=, -UR'LC VANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW Rcvjvw
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