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HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED 'OR APPLICATION TO BEACCEPTE Date. 2. q Permit Number: Praanlrrgand DevelopmentServlces Building Permit Application Building and Code Regulgtlon Dlvlslor, 2300 Virglnto Avenue, Fort Pierre FL 34982 Phone: (772) 462-1553 Fax: (772) 462.1578 PERMIT APPI_iC,gTIONOF R: PR0PriAR-I :i hi--D,Y1l Address: Commercial To Select from dropbox, click here �CAT-oN, Legal Description. E_ 21 . b Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Rack!-_ Right Side: DETA IIEDtDESC III PTi41V. ©F WORK; Left side; ROsidential Lot No. � Block. No. Ad tEona wor o e e arme un vr# s permC. �� a HVAC Gas Tank E]_ aPp Y. Gas Piping Shutters 4�1 Electric � Plumbing OSprinklersWlndows/Doors Total Sq. Ft of con � Generator Construction LSI Roof Cost of Construction: $ i! S Ft, of First Floor: �`° Utilities: OW-MEA"(.E$S%E sewer ZSsp#ic Building Height Name ,, : , r CONTRACTOR, nUWJCss: SAb ki Wov City: "' ,Sr . 11 m r+ Zip Code: G ( State: _E C. �� cI 5 Fax: Phone No. .3 2— E -Mail: a Fill in fee simple Title Holder on next pa$e ( If different from the Owner listed above) If Value of construction is Name., Doev Company: &c� ;Djeel-e 9�ioC Address:a City: i Luc_Ir Zip Code: 41 State: "L Phone No, %9�- Fax: 7,2 E -Mail, 16. InrY���, c r State or County License: C 7- 1 :7��• s °+ " or more, a RECORi)ED NotiCQ of Commencement is required, App Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: - City: Zip: s=hone: 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 subjects ructure which Is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or pro lbifi such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.— In ly:_In consideration of the granting of this requested permit, I do hereby agree that l will, In all respects, perform the work in accordance with the approved plans, the Florida Building Codes and 5t. 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 nun -residential 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 he recorded and posted on the Jobsite before a first ins fiction. if you intend to Obtain financing, cQnsu et�r sawattorney before cra encs r c or recour Notice of Comrnencem �Sigrtature'of:Ownerf Lessee/Agent STATE OF FLORIDA COUNTY OF! - The forgoing instrument was acknowledged before ,�a this' midday of LLQ ' 20 �by ' J_ Le 6 8 amept person of Notery Public- State Personally Known OR Produced Identification Type of ldentificatian Produced Commission No,! (seal) Revised 07/15/2014 5'F14TE OF Fl.®ii COUNTY OF The fvrg Ing instrument was acknowledged before m �„ this ay of 120 it by © z IM S of prion acknowledging ) of Ni tory Public- State of Florida) Personally Known 1 ::f OR Produced identification Type of Identification Produced Commission No. rF(Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 'E iIVITIAtS