HomeMy WebLinkAboutbuilding permitALt APPLICABTE INFO MUST BE COMPLETED FOR APPTTCATION TO BE ACCIPTED
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permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulotion Division
2300 Virginia Avenue, Fort pierce FL 34gg2
Phone: (772) 462-15s3 Fax: (772) 462_1578 CommerCial Residential
PERM IT APPLICATION FOR:To Select from dropbox, click arrow at the end of line
PROPOSED I MPROVEMENT LOCATION :
Address: ,/'/,.(
Property Tax tD *: 3r'/f ,-'l/' -. lr"/:' -/.[l r
Site Plan Name:
Lot No
Block No.Project Name:
Setbacks Front_---.- Back:Right Side: Left Side;
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HVAC
Electric
Total Sq. Ft of Construction:
Cost of Construction: g ?3-? , ,
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lf value of constructio,
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[]um piping
l_-lsprint<ters
rs permit -apply:
Shutters
Generator
l_-l *,noo*s/Doors
RoofII Roof pitch
Sq. Ft. of First Floor:
Utitities: l_l r"*ur. I r"o,o Building Height:
CONSTRUCTION IN FORMATION :
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEE:CONTRACTOR:
Address:./4f
Zip code: J-t/ F J
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Phone No. 7/1.'-//tr - j'/'21
Zip Code: V/r, /
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Co*p"n
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Phone No' 77J - 4'"{ '/dy' 'r't/
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State or County License: fiT/tl I Z€ l,
Legal Description:
I I Gas Tank
El-etumurng
Address:
: _ Not Applicable MORTGAGE COMpANy: _ Not Applicable
FEE SIMPTE TITLE HOLDER:BONDING COMPANY:
oWNER/coNTRAcToRAFFtDVtT:Applicationisherebymadetoob
I certify that no work or installation has commenced prior to t'i e irsuan.e of a permit.
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ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Floridi Building c"d;;;J'si. Lucie county Amendments.
The following building permit appllcations are exempt from undergoing a fuil concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, r.r""n ioo,i, and accessory uses to another non-residential use
1flff*,L.Ji?yJ:ll*:::l?il,l"J:,$::Tg:lpl."-"-f !91lencerent may resurt in your paying twice forimprovements to vour property. A Noti;a;iddr;;;n;;il;i';ffi't"J';#:Ij:i'#l H:[JjIlt [:'jTJrl[.before the first inspection.'tryciu in'teno io ou#n ii;;;;i;;;';oniuit wit[[;;;; ll an attorney beforemr"nCeiient.
Rev.812/77
Signature of OwnerT
STATE OF FTORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
Name of person making statement
Personally Known OR produced ldentification
(Signature of Notary public- State of Florida )
STATE OF FLORIDA n z ./
COUNTY OF -,'/h7.4 , "
Name of person making statement
Personally Known -(.7 OR produced ldentification
Type of ldentification
Produced
The f.o-rgping instrumgnt was apknowledged^before methYm_day or z(h7k,,rJzz ,zo/t Av
l,ly Comm. Expires Aug 2
Bonded through Nailonal
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VEGETATION
REVIEW
SEA TURTLE
REVIEW
SU PPLEM E NTAL CONSTR U CTTON LI EN LAW I N FORMATI 13 I\I :