The URL can be used to link to this page

Home My WebLink AboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �S / / Permit Number: ouiliaing rermix Appucatiivn Planning and Development Services Building crd Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4662-1578 Commercial Residential j PERMI I APPLIC;A I IUN 1 -UK: To Select from dropbox, click arrow at the end of line l YKUP()5ED iMPK0VF_MEN I LOC;Ai [ON: Address: (�OO� i4tz fljLz�� Legal Description: Property Tax lD #: /,�0�- 600 r �lO�-'0DD Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: i DL I AILED UESC#tib' I ION UL 1t1fUKK: CONSTRUCTION INFORMATION: Addiua wor to pe rme un er t pis t perm+t — c ecic a appty: Il 0VAC Gas Piping Shutters WindowsjDaors Gas T ank _ �Eiectric Plumbing Sprinklers Generator It 7 Roof C� Roof pitch Totai Sq. Ft of Construction: Sq. Ft. of First Floor: 7 E Building Height Cost of Construction: $ Utilities: Sewer Septic OWNER/LESSEE: -- -- CONTRACTOR: ;Name t1�(fZ d� Ti��f/h Name: Ci,'VC TiS Sr�cvAc� Address: l/ .12'17 R _I' .�f Company: 1_6AtAsu S eo"lS t c� City: Ino lea ci, State: CnX I Address: lY 15 E Lf i l dG 1� r ee rt Zip Code: 302 STFax: ;City PC/ 2T SL L ucc �- State: Phone No. 706- S%o'S,? Zip Code: u31 5'2-- Fac 77,7 E -Mail: j Phone No. —I'-1 �_ 3 J S- 3'."L31 2 Fill in fee simple Tide Holder on next page ( if different f E -Mail: C, u s t a i f- 5 ti� Cc n t c c. vrt from the Owner listed above) State or County License: C 4 CC? if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 05V5 SUPPLEMEN IALCONS 1 RUC CION LIEN LAW INEURMAI ION: DESIGNERIENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: I address: City: State: !City: State: Zip: Phone: i Zip, Phone: i _ FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable i Name: Name: Address: Address: i city: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit_ St. Lucie Countymakes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable come Owners Association rules, b��lav, s or anc covenants that may restrict or prohibit such structure_ Please consult :vtth your tome Owners Association and revse j your deed for any restrictions which may apply_ In consideration of the granting of this requested permit, I do hereby agree that 1 :Milt, in all respects, perform the work in accordance with the approved pians, the Florida Building Codes and St. Lude County Amendments. The follo,k ing building permit applications are exemptfrom Undergoing a full concurency ret4ev_ room additions, accessory structures, swimming pools, fences, via°ls, signs, screen rooms and accesson, uses to another non-residential use WARN ING 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 your Notice of Commencement. S70a2ture of Ovi ler /-essee/Contractor as A,uent for OLVner 1 !� Signature of Contrac:orlLicense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF I COUNTY OF i f The for ping instrument _=ras acknowledged before me s bv The forgoing instrLn�ient"wa'ss acknowledged before n:e 20 [ by this I, l day of t 1 (Name of person ackncv.+ledging j Name of person ackno+.ied inQ 1 ( F g o I ' .. _ • � � -`- _.i �' �•�� (Signature of Notary Public- State of Facrr-ia j 'moi (Signature of Notary Public- State of F lOr, Personally Knot-urn -�� OR Produced Identification Personally Kroan Oq Produced identification Type of Identi€i©tion Produced`Type of identification Produced 3e CHRISTINEBENWftniission Commission No_ et No_ Oi t MYCQMMISSION3 G052346 E]tPIRES.Apr� M1 �tgYP-':''•_ _. O�fb� aa..nCedPruiBudget N_=nSerrss t - •••: o MY C06!M35510V GG 6F2548 Rexdsed G,'il5i3Gl �j EXPiREs:Apraa,2UI 0 REV IEAAJS I FRONT ZONING SUPERVISOR PLANS = VEGETA z lON l SEA TUR I LE i iv1.ANGROVE t COUNTER REVIEW REVIEW i REVIEW REVIEW REVIENV REVIEV,` j DATE = i COMPLE i E INITIALS i 05V5