HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
MRST; 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
PERMITTYPE: (ovy Hi5n-FEF,
PROPOSED IMPROVEMENT LOCATION:
Address: '}(�`�( L'CxFVR-C> ()jy' hURr CAIA' F_ -
Property Tax ID #: h � 6 � 1 C C_J Q :_� - n 0 0 1 Lot No. �3 _
Site Plan Name:
Project Name: � c-, V i tiZ —\ C%,e'y
DETAILED DESCRIPTION OF WORK:
REN10V6 P,2GPAvN alai- t4cri -LA-
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
—Mechanical — Gas Tank
X Gas Piping(owmaT104 Shutters
UNl.'t� —
Electric 60A,J66fV X Plumbin FOOL
ON�y — g 5�sr6)—
Total Sq. Ft of Construction:
Cost of Construction: $ Z4 V0. u-0
Block No.
Windows/Doors
Sprinklers —Generator _Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 14 A-V 2— TC
Name: J AS!,'f i
Company:_ TASen!
Address: L,- I
City: or-7 G����-t L��c� �� -__ Stater
Address: 33S -SC- tic u�c�q ✓�
Zip Code::c IC Fax:
City: ifi,zr S��n�r e k C_ `9- State: F L-
Phone No. QI 1?, `-f
Zip Code: 31(Q83 Fax: __�2.330-
Phone No -7e,&. q99 1617-0
E-Mail: 1Y,- -forC 6L% C Y) . CC✓1;'i .
Fill in fee simple Title Holder on next page ( if different
E-Maih�a�yce
from the Owner listed above)
State or County LicenseCPC-14551 1� CPS 266/9,
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
rSJFPLEMENTALCONSTRUCTION LIMN LAW INF4RMATION:
r:IrSIGNER/ENGINEER: .— -lot Applidable 4 MORTGAGE COMPANY: Not App Icame {
i I .e Name: _ - —
A. cress: Address: ---- - .
Sta e' City: _ State: _-
7 } . Phone Zip: Phone: -___--- -
FEE SIMPLE TITLE FOLDER; — Not Applicable BONDING COMPANY:
i� ar-e: Narne: _
Not APP icabie
Cdr"ess: I Address: _ --
C City:
Z;p Phone: Zip: Phone: i
r
?4NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as in d c2
i cep iy that no work or installation has commenced prior to the issuance of a permit.
st A Cie County makes no representation that is granting a permit will authorize the permit holder to build the subject s: •urt
J c^ is in conflict with any applicable Home Owrers Association rules, bylaws or and covenants that may restrict or p chib T
>truc_ure. Please consult with your Home Owners Association and review your deed for any restrictions which may applv
co-)sideration of the granting of this repuestee oermit, I do hereby agree that i will, in all respects, perform the wort:
-i ac-,ndance with the approved plans, the Florid Building Codes and St. Lucie County Amendments.
�! e fcllowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acce,�ory structures, swimming pools, fecces, wa is, signs, screen rooms and accessory uses to another non-residenti�i -_e
t' RNiNC TO OWNER: FOUR FAILURE TG RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR FAs l�iC l
1R'tCE FOR 1sMPROYE�3E TS TO Y aUia f= vi E12'y. l�IOTICE OF COMMENCEtME T AUST BE RECORDED' -`��;� �1
,POSTED ON THE JOB. SITE BEFORE TEE FIRS 5 INSPECTION. IF YOU INTEND TO OBTAIN ENCE FilNk+RiCIR#C �'•O!�� -'` T
_ VITH YOUR LEND 013 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
"sera` e of �ner/ Lessee/Contract s Agert for Owner +
Holder
511 ATE OF FLORIDA !! STATE OF FLORIDA E
COUNTY CbF' 4 COUNTY OI
forgoing instrument was acknowledged be ore me I The forgoing instrument was acknowledged before r'.e
this i I nay of 20 t` + by i
Vane of person making statemen:. — Name of person making statement.
Personal! Known OR Produced Identificatir
aE rsonally Known c= OR Produced ident fication Y
! Ty::e of identification Type of Identification
Produc
`-'_*��.`*— :u�1•- 1 I —�*'or�.e �Ve of(Signature of Notary Public-- Staelor, {Signatur
0 o.C,tjC,-mmissior No.i,—(Sea! Commission Ni s
?EViEWS FRONT �Of�;.`;` ic�iP� @R 4 PLANS r EGETATiON { SEA TU�fY�r1 tvtPtGF<i
t<r
L J ,
COUNTER REV'i' e[ ig; l7ii 1 REViEW REVIEW' RE�,11LW s�J/t /�y
i i !tll:L.Eti'
C ft 1 E
RECEIVED
L
tt�� J nTIE
COMPLETED
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