HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permlt Number:
4
Plan ningand Devoopmentservices Building Permit APPlIC.ation
8u1161119 and Cade Regulation Divislon
2300VlrgIn[aAvenue, Fort pierce FL g4952 / Phone: (77Z) 462-1553 Fax: 772 462.1575 C
( � Commercia# _— R�sidentfal
PERMIT AppLiCATiON FOR: To Select from drapiJcx, click here r
PRO'POSED.INPROV'EMENT'LOCA-TI.ON.' . v v��
Address: SJ G
' [ ►EcC� _
Legal Description: CCJS+i. ( cti � -
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Property Tax 1 Q D v ��. � �-v � �.• vvlrl~ i-----�'-""
Site Play! Name. . Lot No•
Project Name:
Block No,
Setbacks Fronl----. Back:
-----._ __ Right Side: ------� Left Side:
DETA1l1=D0 CRIPTION OF IfQRiC':.
CON STRb CT�,�.ON, l N FO,R MATT 0k N
Mona wor a e e orme
un er sperm -c ,0ee a
HVAC . all V:
Gas Tank
j❑(--`-�Gas piping ._ Inshutters
ElectrPlumbing Sprinklers Windows/Doors
p rs
"rotaf Sq, Ft of Construction: 11 Generator Roof
Cost of Construction: $ S Ft, of first Floor:
Utilities: Sewer Septic Buildin
OWN:R/LESSEE; Height:
Name CL CONTRACTOR
Address: U1 Name:ift
I Company: City: � e P ny: �t��2 ��-�
Zip Code: �-'C State' Address: 5Gt �t�
Fax: " � --."' �� � �• a,e � U� �jca
Phone No. cZ_ - j S } Clty: %
Zip Code: State: � !�
E-Mal1: Fax: 'i7,;2 `g rS�3
Fill in fee simple Title bolder on next page (if different Phone No, _,Z ?�- I
from the Owner listed above) E-Mali, all
State or County License:
If value of c9nstr�Ctlon is $2500 or more, a RECORpI:i� Not1c� of Common �
cement is required, ��
.— Not App
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _.:__ Not Applicable
Name: _
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City, State;
Zip: Phone:
BONDING COMPANY: Not Applicable
Name, _
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
which Is in conflictwith any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply...
In consideration of the granting of this requested permit, I do hereby agree that 1 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 full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resldentiai use
WARNING, 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 ' e first ins action, If you Intend to obtain financing, consultener`aitorney before
corm encili r t or recordist femur Notice of Commencem ``mot
. ,,, Sigma re'of:ownerj Lessee/Agent
STATE OF FLORIOA
COUNTY OF !�j a UC" 1 £'
The forgoing Instrument w4s acknowledged before rys.9 S
this ��day of rfZi !,- .. 20 La -by M
person
of Notary Public- State of Florida )
re
STATE OF COUNTYOF OR 'un
The forgoing instrument was acknowledged before m Ro
this, "day of '�l 20 by .2 o a 2
(Dame of gdrson acknowledging)
of Nrbtary Public- State of Florida)
Personally Known �OR Produced Identification Personaily Known L.� OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. � (Seal)
Revised 07/15/2014
Commission No. LE % (Seal)
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS