HomeMy WebLinkAboutBuilding Permit ApplicationI
ALL APPLIC . LE INF UST BE COMPLETED F;)R APPLICATION TO BE ACCEPTED
Date: 3I1
Permit Number:
Planning an Development Services Building Permit Application
Building and ode Regulation Division
2300 Virgini Avenue, Fort Pierce FL 34982
Phone:(77 462-1S53 Fax: (772) 462-1578 Commercial
PERMIT A PUCATION FOR: To Residential _
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nd of line
"k'l:ri:.47.ii� 11' JdIY '•n.A.ILI zu ..._. .�R'
Address: 106om 51 OCean
r. 411:- L-%3
Legal Des rip on:
Uwe �f�3
Property Tax #; 3 534 - So,? — W) 5, C)Z ._
Site Plan Na Lc It No,_
Project Name MCS, zL0 ReSBI ckNo.
Setbacks Fi nt� Back:
Right Side: Left Side:
�� ���� i�l S<�1-�'" CJ11�1 Ia IC L✓
LL—J"VA%- L,jGas Tank uGa:
11Electric Plumbing OS
PI
Total Sq. Ft of onstruction:
Cost of Constr ction: $ y `>•5,v
Address:_
City:
Zip Code:
Phone No._
E-Mail:
Fill in fee simF
from the Own
If value of consl
— 50
Title Holder on next page ( if
listed above)
alon is $2500 or more, a RECORDEL.:
IIL—[,
Piping
ars U Generator
S Ft, of First Floor: _
Utilities:]Sewer Septic
Name:
Compan
Stale: Address: Ct-Il
City: 'ro/_ (}� e-
Zip Code: rsy�
Phone No. ')1a—tib),
E-Mali: Yh r e
State or County License:
of Commencement is required.
jQ winc
Roof
Building
_ Fax:
313
:r-L
/6;
Namt:: ' "'"'"� Moir A6E COMPANY: Not Appk
Address: I Narne! City, Address:
Zip: _Phone: Stater. City: State
Zip, Phone:
FEE SIMPLEIMEHOLDER., Not Applicable -ON NtD u COMPANY:
Name: Not Applici
Addre55: Name:
City: Address:
Zip: a Phone: city"
21p: Phone:
I certKY that nc work or innisi atlon has canmenc
yq est prior to the Issuance of s permh,
tvlsirh if in CAW awes angppnorepri6e 1 tlon thatu grtanin m peermit ea orlte the ermlt hold to bulid [he bJeet s�taru
with ant h youa e o �NsersAssaWdon m s bI ppr it, covenants�, t may nect ar prWtll
structure. Plea mnsalt w th your ma Owtsert AsspslaWn attdrreulew Vour Wed for any rcstrkif°ns whir st may apply,
in accordance
of the aPicrovecigranum this ra a Fiord permit, t dp hereby agreothat 1 wlg Mal respects, performs the work
Tl zeollowi g the approved plans, the rlorida Wlding Code, and St. Lucie Comnty Amendments.
The accessory
stf b' III perrrdtappilcyllons are'"Mist Pram undergoing afill concurrency review: room additions,
accessory strut rp, swimming pools, ie"MI,walts, slgn't, screen Morns and accessary uses to another non-residential use
IrnWApRNINCs Ti to VOL
'Ir OWNER. Your failure to Record a afotkeof Commenadnsalt result In Vsrur paying twice f
be °vth@ fly In Aection, If A Notice
°#�' nmence ant must be retarded and posted an the job:
com endl Yap ntend to obtzln linancf consult Wlt{ lender or an attomev bn(I
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