HomeMy WebLinkAboutBuilding Permiti
ALL APPLI A LE NFO MUST BE COMPLETED F)R APPLICATION TO BE ACCEPTED
Date: \cil ¢
Permit Number:
- 1
L'i
Planning an Development Services Buil�"ri�9 Permit Application
Building and ode Regulation Division
2300 Virgini Avenue, fort Pierce FL 34982 1i
Phone::::::::::( g6Z_1553 Fax: (772) 462-1578 Commercial
PERMITA PLICATION FOR: Residential_
To Select from dropbox, click arrow at the end of line
Address:
Legal De:
Property Tax q;
Site Plan Narr_
Project Name
Setbacks F nt
Jia
Sl
)`1 SC>) `
r
�-s;cP
Back: Right Side:
Left Side:
E
F-1 L-cnecK all aPP Y: r r � 4"
HVAC Gas T
ank ❑Gas Piping _ Shutters
I a JElectric Plumbingnn ❑ �Nindows/[
h JSprinklers
Total Sq, Ft of onstruction: �..I Generator � Roof
Cost of Constr ction: $ Li -A <,-, S Ft. of First Floor:
tic
Utilities:I]SewerE]Se
P Building Heig
NameIF
Address: �vLA nR Name: Q.y�
City: s f je tCompany: Q nw.-,,cI
Zip Code: 4ASa State:�� Address: _6t }
E -V; �nLa-
Phone No. -+;rI a - $ l - lo) City: 3) LUL" L
E -Mail: Zip Code: i ItiId
Phone No. Fax: �l
Fill in fee Simple Title Holder on next page ( if difr'j; t -- 4 b )� f 3 3
from the Own rlisted above) E -Mail: * t i�fJ),i [d �fa,�n
State or County License: CAC
It value --of uction is $2500 or more, a RECORDE[IiNotice of Commenceme t is required.
No.
Name:
"'-""""
MOMAGECOMMN
Address-
;
Name;
City.
Adds
Zip:
Phone: State't
city. -----
PEE SIMPLE
I
HOLDER, Not AppIWWe
p Phon
Name;
I `
BON Ntb p COMPANY:
Address:
II
Naine,
City:
~_
Address:
Zip:J.
Phone
'
City:
21P:Ila
I certiiythat n
it or instedlation has commencrtd
%Lu[ieCoin
:ae�,.,____-- . Priortothe ISRrenCeofyPermFt.
Not Appll ble
.State-
-Not
`. State
—NotApplie le
Ath
ati of the grantingof this r � �,��M+own ano rimew •++� aor pl
your !far any restrkt ens I - may app
ce the approved pl 84e Flard S.W td9 herebyagraothet twLll in iB respects, parrorm the work
ins. the Florida 6tdldIhs 0odtu and st. Lome tounty 4'res Mate,
ingb I�InBPesrad[app0eatlansareeaa
Ne rel,twlmntinggoals,fever,tya t}lmunderlickgaflitcaneurrencyreYltw:(Dom addRians,
%fis 'screen raoineandaeMMrY utasto Another nait rnsidentia!
n OWNEHt Y"r failure
en to aur �t fl�ord a Iota -a of 00 1in�� It Inyour Paying twl
Me fl irtsoperty' A Notice o#Corromance ent must be reotuded and posted an tJyej
cln Faction+ If you mend to obt :in (irLantf consult wit lender gran attomev hafr
dt .Yr NotJcn of r. n ... _ if.
COU NI+Y Oi
The IaLrp aIng
this day
Type of Iden
Comenisgon
wlr adawmedpabeforeme -r ngkftumenl:wuadMWIedgedbefoeame
2611 by thir day of.! l I 20 'ri by
�f
rry PuhllnState of -t t`
✓f r{da ] {Slplature o(Noiary Pi
OR Ptcdtwkd Idenalheatlon Pertunaik Known
Ion Produced Typo of lds"Mcatton P
�(a07l1f`9
(sell) ` CommisstonNo:GGb
d1aBTalEMAt1SON
IievJS6d074:W2014 041W FPRES;May 10utt
REVIEWS 1 COUNTER REVIEW
INITIALS
SUKRVISOA PIANS
REVIEW I REVIEW
Produmd Identlftcation
VEGETATION I SEATURTLE
RVAEW REVIEW
tach