HomeMy WebLinkAboutPermit App MarcosAll APPL -&LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
z k
y Building Permit Applicati®n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Port Pierce FL 34982R25{CI@ntlal
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _.
PERMIT APPLICATION FOR:
W
Q
Address:
Legal Description:
Lot No.—tE-c--
Property Tax ID #: Block No.
site Plan Name: C
Project Name:
Rark- flight Side: left Side:
_Mechanical _ Gas Tank _ Gas Piping — Shutters
Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ l
Sq. Ft. of First Floor:
Utilities: `Sewer _Septic
Name J C ? � • 1 QO '
Address: 2 r
City: C n i Cti 2 State:
Zip Code: l r' (� ^] ��_ Fax:
Phone No.
E• -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: r
Company: C-rx;'-
Address:?r-1 nn
City: P
Zip Code: 33- 7
Phone No
E -Mail
State or County License,
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
Windows/Doors
Roof Pitch
Building Height:
M
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to omin a permit to uo the woric ana inseauanun as t dlUdwu.
I certify that no wont or installation has commenced prior to the issuance of a permit
5t Lucie Count� 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 an covenants that stay restrict or prohibit such
ith
structure. Please consult wyour Home Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe 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 fail concurrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yourfailure to Record a Notice of Commencement may result in your payingtwice, for
improvements to your property. A Notice of Commencement music be recorded and posted on the jobsite
hefore the first inspection. If You intend to obtain financing, consult with lender or an attorney before
of
as Agentfar Owner SWTAf&reof Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF T i r� �— % ✓w COUNTY OF Z� )� t �l
The forgoing instrument was acknowledge( before me The forgoing instrume t was acknowledge¢�before me
this day ofCC�21 j "� by this day of zo / 1 by
Name of person making statement
Personally Known OR Produced identification
Type of Identification
M
�arnala
Camrnission No. ' sM r Com
REVIEWS I FRONT I ZONING
COUNTER REVIEW
F27 M- sT
Name of person making statement
Personally Known �C OR Produced Identification
Type of Identification
15 1 I CommisslOn NO.
SUPERVISOR I PIANS I VEGEfA11ON
REVIEW REVIEW REVIEW
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DESIGI�iER%ENGINEER:NotApplicable.
MORTGACECOMPAIVY:
NvtAppliEable
Name•
Name:
Address-
Address:
-
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
� Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone;
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to omin a permit to uo the woric ana inseauanun as t dlUdwu.
I certify that no wont or installation has commenced prior to the issuance of a permit
5t Lucie Count� 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 an covenants that stay restrict or prohibit such
ith
structure. Please consult wyour Home Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe 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 fail concurrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yourfailure to Record a Notice of Commencement may result in your payingtwice, for
improvements to your property. A Notice of Commencement music be recorded and posted on the jobsite
hefore the first inspection. If You intend to obtain financing, consult with lender or an attorney before
of
as Agentfar Owner SWTAf&reof Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF T i r� �— % ✓w COUNTY OF Z� )� t �l
The forgoing instrument was acknowledge( before me The forgoing instrume t was acknowledge¢�before me
this day ofCC�21 j "� by this day of zo / 1 by
Name of person making statement
Personally Known OR Produced identification
Type of Identification
M
�arnala
Camrnission No. ' sM r Com
REVIEWS I FRONT I ZONING
COUNTER REVIEW
F27 M- sT
Name of person making statement
Personally Known �C OR Produced Identification
Type of Identification
15 1 I CommisslOn NO.
SUPERVISOR I PIANS I VEGEfA11ON
REVIEW REVIEW REVIEW
"QQ I'M'M& of Florida
pameia Oyer -Rape
A =0rrala,iota 1
1$„s
xz
SEATURTLE I MANGROVE
REVIEW REVIEW