HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: j
RED
Building Permit Application APR 3 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division �t. Lucie ��l! `yi F�
2300 Virginia Avenue,Fort Pierce F134982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial esl .en la
PERMITTYPE:
i /�/ /
10
Address:
Property Tax ID#: �,�ly•rj�- ! u`Z�•( • g Lot No.
Site Plan Name: tL1- Block No.l 2_ lis
Project Name:
/meg/a,*Ng/��iir
P11 IYK/
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping V_'S hutters —Windows/Doors
M '
—Electric _v Plumbing _Sprinklers " _Gi�ene4ator Roof Pitch
Total Sq",Ft of Construction: F 0 Sq. Ft.of First Floor: r),K
Cost of Construction: $ �� � Utilities: —Sewer _Septic Building Height:
Name: 1-noC`T�rX
Company:"t)sseA-
4S EbAMWCAt6p
7w=
QQ
Zip Code: ;V 06>?_ Fax: City: 0k°�-_6VL6be_P- State:l
Phone No. Zip Code: 3'19?a Fax: 7&S(o0te 0
E-Mail: Phone No 9 C&S -703 -7 55a,
Fill in fee simple Title Holder on next page(if different E-Mail VM O SS elyVia .CDIn
from the Owner listed above) State or County License C (oD.U 1 a'4L1
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
'DESIGNER%ENGINEER;> NotA !!cable : Y ,
pP NiQRTGAGE COMPANY = Not'Applicable
Name:
Name:
;Address• Address;
City; State: City: State.
dip: Phone Zip: Phone:
FEE'Sih!lPLE`TIT-UX HOLDER, Not Aop)icable BOI DING 0MPANY: _Not Appticable
Name:.. Name:
Address: Address:
C(tjt: City:
Zips Phone: Zip: Phone:
6WNERJ�C0•NTRACTOR,AFt IDVi1:,Appliration Is hereby,made to obtain a permit:to do the,work and:instailation aslndIcated:
!certify tbat,no work or installation has commenced prior to the issuance of a permit.
St Lucie Count make na:represeTitation;that_is graining a permit. ill authorize the permit:hoiderto buiid�the.subjectstr ,ure:
wbich.ts-in coli.-fct wit 'any.appllcable Home Owner'A'ssociatibn,rU ts,,bylaWs:or,and covenants'that5tiay�restrict:arprof lt%itsuch
structure:Ptease..r*anSult w�th.yaur Norrie t:iwners soclatlon-and review-your deed fpr any restrictions which may apply
In cooslderation ofthe of this requested-,permit,I dohereby agree thari will,,In respects,perform the work
in�btcdrdancb-with`the-appioved plans,the.Flortda Bd1lding Codes and�$t,Luria County Amer►dments:
7he.f6llowlriR bullding permit appifcations.are exsmptfrom undergoinga full concurrency review:room additlons,
j accessory`structures,:swimming, Is,:fences;walls,signs,screen>ropms and accessory uses to ariotho nor!=residenttat use
"VYAR{YING:TO QVYNEit:;YOUR, FAILURE TO'RECORD A:-NQT1CItE'.OF COMMENCEMENT.,MAY RESUL!r,; XYOUMPAYING
TWICE �R IMPRBYEMENTS
TO YOUPROPERTX A Nt�TIGE t3F .CQbfMEhtCEIltENT MUST BE t2ECORi}ED ANTI
POSTED'ON TIiE'JORsSCTE`BEFORE !FIEFl125
7 lNSPEC 1O&IFYOU,INTEND TO OBTAW FlNAlNCING„CONSULT;, ;
'WIT YOUR'Lfl11DER OR ANtA1TORNEY BEFtfRE itECQRDING; .OUR=iYOTICE OIF CO 114ENCEMENT." :'
Signature of Owner/.Lessee ontractoras Agent for Owner Igriature-of Con tractor/Lic' a Holder
STATE OF FLORIDA - STATE OF:FLORIDA
COUNTY"OF C�- c� U L� COON I*OF C�YCE'-e C j t o be-e.
Th fa oing Instrument was-acknowledge before me The`for,�g ii ,g�instrument.was acknowledged before rhe
this aynf_r �__ r,2b by tF►ts �'oayof'PMA:C -(. .2Q Ely
N .
b ~
N "
Name of person nisking taternej; m�.: amt of person making4staterne6t '.
PersanaIlv'Known_1::i�_1 OR Produced identiflca =. ersonally Known ,t/ OR;Produced,dentill'; i��,��
Type of IdentiftcatIon 0 4; ype of lde itifiratlon :
Produced �.� roducedvro J0
c2 e
44
etk,
,
a ria ure of Not Public=S't"ate`of.Flbrlda)."" a;i��w c {Slgriature'of'No P.ublla State of Flo'lda) � � r
Commission No (Seal) ' °' c7� ^:
�p { e) �o�. :Commission Na��.Z 7:t� {Seat
REVIEWS FRONT ZONING: SUPERVISOR,.: 'PLANS,_ 'VEGETATION SEA TURTLE 'MANGROVE
COUNTER REVIEW REVIEW - 'REVIEW REVIEW -REVIEW
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REVIEW
DATE .
.:RECEIVED:
DATE::.-.
COMPLETED ,