HomeMy WebLinkAboutSanfordpermitALL APPLICABLE INFO MUST BE COMPLETED FpR gppi,1eATEON TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Servlces
BuIlding and Code Regulatlon Divlslor,
2300 Vlrglnla Avenue, Fort Plerce FL 34982
Phone, (772) 462.1553 Fax: (772) 462.1578 Commercial
ROsldentlal
PERMIT APPLICATION 'OR: To Select from dropbox, click Mere
PROPOSI�D IN PR OUEMENT'LC}CATI:ON;
Address; { i'
A�-
Legal Description:
Property Tax 1D #: ` p q it 7
Site plan Name: Lot No.
Project Name: Block No,
Set11 backs FrontSack:
�.� Right Side: Left Side
D ETAitt 04ESCRIPTION OF'WORK
V VV +-Y 4e,-AA�-
ti 4-- �` U
Ct C[ c�Y�
71/
CONSTiUCTINFORMATIN;.
tfona war ab e e orme un er i s perrra ,» c ec a
HVAC app y:
Gas Tankpiping E]Gas
[Ilectric
Shutters Windows/Doors
Plumbing []Sprinklers
Generator � Roof
Total Sq. Ft of Construction:
Cost of Construction:
�, S Ft. of First Floor:
$ j 'i �. � '""-�
Utliities: Sewer i �I Septic Building Height:
OW[VIyR%LSS,EE
Name CONTRACTOR:
Address: 1—Gi 5¢Z - Name: QN rtri f,�rA
City: ,fir SI [ G� company: �.(� � � t�(. �� C
_ /�l � C'i-ail
ZIP Code: G �— Fax: State: Address: 5C �t� �� ,—.,�;.rS6barf/L�
Phone No, City: �d>�t E<-M.all: ' ZIP Code: 129 Ile �e —•--�„ _ �_Fax: 77.2
Fill in fee simple Title Holder on next page (If different Ma E Phone N
from the Owner listed above) - If Cad_ ic, -V-�'3
If vstate or County License: Cr✓
alue of construction is $25a0 ar more, a RECORdED EVotice of Comm �� � encsrrtient is required, �~ ��
of 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 Countty� makes no yrepresentation that is granting a permit will authorize the permit holder to build the subject structure
structures. Pleaseeconsult w�thpyourHome OwnOwners ociation and review deed oroany restrictions whichrmay aY prohibit..such
In'
consideration of the granting of this requested permit, 1 do hereby agree that l 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, wails, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
tMprovernents to your property, A Notice of Commencement must be recorded and posted oil the jobsite
before site first lnspection..lf you intend to obtain financing, consu efrel -a attorney before
w Sigrature of;0wrierl Lessee/Agent co
STATE OF FLORIDA
COUNTY - �t��t'
The for oing Instrument was acknowledged before ,� � � -S
this -L;2 day of T ' ''- ( 20 Eby
(Namepf person ackwv led,�ing j 4 zy ;
'(Signature of Notary Public- State of Florida )
Personally Known L-�013 Produced Identification
Type of identification Produced
Commission No.r (Seal}
Revised 07115/2014
STATE OF FL®R T Q]
COUNTY OF �
The forgoing instrument was acknowledged��laefore m
this day of _ , 20;--�- by a w
Personally Known i- :• OR Produced identification
Type of Identification Produced
Commission No, rF`t dl (Seal)
REVIEWS FRONT
ZONING
SUPERViSOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS