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HomeMy WebLinkAboutbuidling permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date tau nr�rr Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation'Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Commercial Residential To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal,Description:r 1��(j Property Tax lD #: Lot No._�_ Site Plan Name: Block No. Project Name: C Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUC ION IN ORMATION: ona wor to e e orme under this permit — c ec a I apply: TIq AC 1:1Gas Tank Gas Piping _ Shutters L�_.1 Windows/Doors 11 Electric 1._1 Plumbing Sprinklers � Generator � Roof Roof pitch Total Sq. Ft of Construction: �-- S Ft. of First Floor: Cost of Construction: $ J utilities:tSewer DSeptic Building Height: OWNER/LESSEE: — CONTRACTOR: f Name City:\C��_VUA� 1-3 State' �� Zip Code: 3 Fax-. Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: J V -TA I — `LAA A '-S Company: Address: City: `,��—(1 l} Stater Zip Code: Fax: Phone No. I_ -Mail: - State or County License: 1"t� If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: Add ress: City: Zip: Phone: T Not Applicable I MORTGAGE COMPANY: r Not Applicable Name: State; Address: City: _ State:, Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name. _ Address: Address: T City: City: T Zip: Phone: _ 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 conflict with any applicable Home Owners Association rules, bylaws or and covenants that 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 I 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-residential use WARNING TO OWNER: ur failure to Record a Notice of Commencement may result in your paying twice for improvements to your operty. A Notice of Commencement must be re orded and posted on the jobsite before the first ins tt n. if you intend to obtain financing, consult wO fender or an attorney before commencing wor r ecordinR your Notice of Commencement) Signature as Agent for Owner tense Bolder STATE ©F FLOPIU4 STATE OF FLQ A COUNTY OF COUNTY OF__ The for Ding instrument was acknowledge before me this J5day of }f OJ��.rl� 20 Jqby (Name of person acknowledgigg4--, (§Anature of NofgryJpublic-St rsonally Known R Type of Identification Produ •ei Commission No. a'`.t4"�"• Revised 07/15/20 of Florida ) Ito The forgoing instrument was acknowledged before me this day of 20 by _-An _ C� �- (Name of person acknowledging ) Pu&r- State of Florida ) Personally Known OR Produced Identificatio Type of ldentifi a ion Produced ��}tRYti R 5421 Commission NoCol . •"�.. "•• �isss�� � 11,2�i9�� a= ie5 'IpVem REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS