HomeMy WebLinkAboutSCHULZ_0001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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
Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax II
Site Plan Name
Project Name:
Setbacks Front Back: Right Side: Left Side:
-51 3-
EC
wvrtctvoe errormed underthis ermit — c ec a a p pp y: Gas lank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
5 Ft. of First Floor:
Utilitles:nSewer OSeptic Building Height:
Name 1 7—
Address:
City: State:
Zip Code: g Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: �Q
Company:
Address: S
City: etw State:—R
Zip Code: _j3�� Fax:
Phone No.
E-Mail: I r6s-eo (' QP r, um
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Appli
State:
— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to yo property. A Notice of Commencement must be recorded and posted on the jobsite
before the first ins tion. If you intend to obtain financing, consultw)A lender or an attorney before
commencing woWof recordin our Notice of Commencement.
.J,et,dwt ITUryLessee/L,ontractor as Agent for Owner
STATE - F Fi
COUNTY OF -
The
fo oing instrument was acknowledged before me
this day of 20 by
(Name f person acknowledging )
ignature o ary Pu ic- State of Florid
SCNB6RG
rsonally
Type dentificatio romm s`Dn_ � rAl.
Commission No.
Revised 07/15/2014
8c^Eo3�
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
COMPLE
INITIALS
of
STATE OF FLO TO
COUNTY OF
The for oing instrument was acknowledged before me
this day of 20 by
CA n rrJ1 1(-' lei /? ._�I
(Name of person acknowledgine i
State of Florida )
of
Commission No. _:• �r Expires Novembet�� 119
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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