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HomeMy WebLinkAboutBuildong permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: M Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 452.1553 Fax: (772) 462-1578 tbmmercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click here PRDP08t-, '1:NPR01/EMENT'LOCATi;ON Address: Legal Description: PropertyTax iD #. -IDG , �` ` �G Lot No. Site Plan Name: Block No. Project Name; Setbacks Fron# Back., Right Side: left Side; DETAitED DtkRiPTiC iV. OF WORK:.': CC?NSTRUC;iOPJ fNFURMATION:: tiona wor o e . e orme un er s perm' - G ec a appy: 0HVAC Gas Tank 'E]Gas Piping Shutters Wind 11Electric Plumbing l.,_1Sprinklers Generator Roof `total Sq. Ft of construction; Sq. Ft. of First Floor; COSI of Construction: $ Utilities;Sewer 11 Septic Building Height: Name , , A Address: 1 . Clty: 4,c"A � 7 tate: l Zip Code: y Fax; Phone No. �} , E -Mail: Fill in fee simple Title Holder on next Page ( if different from the Owner listed above) If value of construction is $;F50-0-0-7—more, lY}ofe, C.tJi11 i''.i\I'11J'1�1'`1 Name: d tV Company: ti(�' A ,� Gr h{,/f2 C'c, Address: S� h1t.J /� rC/-`'��?f5E` clty: i Ltcc:l State: F -1 -- zip Code; .3sf Fax; 777 ` 7l er 3 Phone No. E -Mail. Ill ('t\ III State or County License: St-' J <r AIA Lice OrCammenI'm ell tisrequired, Name. Address: State,City: Zip: _ Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address- City- Zip- ddress;City:Zip; Phone: MORTGAGE COMPANY: Not Applicable Name; �`' Address: State:.._ City: Zip: ,_. Phone; BONDING COMPANY; Not Applicable Name: Address: City: Zip: - Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St, Lucie Counttyy mala, no representation that is granting a permit will authorize the permit holder to build the subject s�trruct re which is In conwictwit� any applicable Home Owners Association rules, bylaws or and covenants that may, restrict or prohibit such structure. Please consult with your Horne Owners Association and review your deed for any restrictions which may appiy, 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 I�efare N� first i4 ct�a you intend to obtain financing, consytxAZh4emeT4w ti;attorney before 5lgnature of:Ownerf Lessee/AgentSTA COUNTY 0 E OF D I A � � Le !F-- � 2 E The forgoing instrument was acknowledged before r: 9 8 ^this, day of] ( _, 2y�0 J�,by �e fj �5y` ame 1 person Personally Known ��OR produced Identification Type of Identification Produced CommiSslon No.'"- " . -7 (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SEIPERVISOR E COUNTER REVIEW REVIEW DAT COMPLETE INITIALS Signature STATE OF FLORIQ COUNTY !©F The forgoing Instrument was acknowledged before m �`' this � day of r;1 20 b (Name off►rson ac4cnowfedging ) of N'6tar`y PublIC- State of Florida Personally Known�OR Produced Identification Type of Identification Produced Commission No,,(Seal) PLANS VEGETATION SEA TURTLE � MANGROVE REVIEW REVIEW REVIEW REVIEW