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Home My WebLink AboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7 Permit Number: ounaing rermlit Appilicavon Planning and Development Services Building and Code Regulation. Division 2300 Virginia Avenue, Fort Pierce F! 34982 Phone: (772) 462-2553 Fax: (772) 402-=578 Commercial Residential NtKMI I ANI'LICA I IUN FUR: To Select from dropbox, click arrow at the end of line YHUI'USEU IMPRUVLME.N I LUCAI ION: Address: ,ma a Legal Descrptior,: Properh, Tax ID #: ci7,Jr ��J ©/Le�-IW9 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: UE I AILED UtSC:RlP 110N 0WO RK: CONSTRUCTION INF=ORMATION: AddifionaT work to be erformed under this permit- cl^eck aTrt� applY IVAC �GasTank ❑Gas Piping L=1Shutters DWI,ndows/Doors L=i Electric Pumbing ]Sprinklers Generator 1 Roof Roof pitch Tota. Sq. Ft of Construction: ,( Cost of Construction: $ OWNER/LESSEE: Sq. Ft. of First Floor: _ Utilities: 0 Sewer Septic Narie �/%��idhl ✓- %�9�o''//rpss�/ Address: /oZ f7nti t�o��oaJ City: /D,0- State: Zip Code: Fax: Phone No. %�%� �/ '15 // E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: 1►E7iin Building Height: s �r Company: Cutn-Fo►'tit A ,r Address: 1471 S S E \A I -,e r ee 11 City: Po 2T St . L uc{ f-- State: Zip Code: x`1-45:2..- Fax 7`2',?- J35 -1`I be Phone No. '7'1a 3 3 S- 3.2 3 �1 E -Mail: Cu 5t6 -1r Sys p aCJ (ohti State or County License: r,, 4 C G) 5 ( 1F I C) if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMEN iALCONS I RUCHON LIEN LAW INFURMAI IUN: DESIGNER/ENGINEER: — Not Applicable f MORTGAGE COMPANY: Not Applicable Name: Name: Address: ,address: City: State: Cite: State: Zip: Phone: i Zip: Phone: i _ FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable I Name: Name: i Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no .pork or installation has commenced prior to the Issuance of a permit. St_ Lucie County makes no representation that is granting a permit Evill authorize the permit holder to build the subject structure v:hich is in conflict with any applicable Home Os:mers Association rules, b�,lav: s or ano covenants that may restrict or prohibit such structure_ Please consultwith your Home Owners Association and revie_v ;your deed for any restrictions which may apply. In consideration of th= graniing of this requested permit, I do hereby agree that I :will, in all respects, perform the work in accordance vAth the approved plans, the Florida Building Codes and St. Luce County Amendments. The following building permit applications are exempt from undergoing a full concurency review: room additions, accessory structures, stis4mming pools, fences, ria ls, signs, screen rooms and accessoR, uses to another non-residential use WARN ING TO OWNER: Your failure to Record a Notice of commencement may result in your paying twice for improvements to your properfiy_ A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or receding your Notice of Commencement. Signature of OEiner/-esseejContractor as Agent for O%veer ! t Signature of Contrac:orlLicense Halder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF _ The forgoing instrument ;vas acknowledged before me 9 The forgoing instrument was acknowledged before me /` 7'0 4 20 by this !6 day of ,Tell-,V 20 / bVI - I i this day of y , (Name of person ackrc..ledging j (Name of person acknowledging ) (5ignature of Notary Public- Stag of F er.-Ia 1' (Signature of Notary Public- State o I Personally Knobvn OR Produced Identification j Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No_ 1 f - XP CHRIS'nNE B ENt0Fh I mission No_ ; MYCOMMISSIONSGV2566 t * EXPiRES-AprJ --- �'rtertba ' .2021 ry —{� 1f� AEBFT1Gii5}i .,_ice'--: a��aeettvua�j'-tHa� Revised 07/1-:V2014 rSwixc r �+ AFL * My COMMISSION GG M2:,48 °� `oma EXPIRES_ Apr? 4, 2MI REVIElA1S i FRONT ZONING SUPERVISORj PLANS VEGETATION i - SEA TURTLE ivi.ANGROVE COUNTER REVIE'N REVIEW REVIEW REVIEW REViRN' REVIEW DATE -_ COMPLETE INITIALS