HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMP
Date I.ETEI] FOR APPLICATION TO BE ACCEPTED
i� Permit Number:
Building Permit Application
plonnlrrg and Development Services
8ullding and Cade Regulation Clivlslon
2300 Vlrglnla Avenue, Fort plerce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR;
PR0`P SEd'INPR
Address:
Legal Description.
Commercial___. R�sidentia! _z_
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IC'"
Property Tax Id #: [ ,J
Site Plan Name, U ! Lot No.
Project Name: Block No.
Setbacks Front
Right Side
• Left Side; ,_•�,�
DFTA1kED DESCRIPTION OF WORK:
CONSTRUCTION INFORIWIATfON
11t4l15 vvor to e e Orme
un er t rs erm t—c ec a
L�lHVAC Gas Tank aPA Y
[IGas Plping —I Shutters
ICJ Electric OSprinklers �Windowsfboors
Plumbing
Total 5q. Ft of Construction: � Generator � Roof
Cost of Construction: S Ft. of First Floor:
$ �` --�_ Utilities: p Building Sewer LjSe tic
OV4INEI�f LESSEE; _. g Height:
Name] ,i
Address; r
City: it
Y� 6 / State;
Zip Code: Fax:
Phone No, -2
E-Mail: 's
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is
Name: DM rt,�(10 A IJLi
Company: A,(!
Address: L
City: 7'o�e,r�
6 Lc� c e rr
ZIP Code: State: F',4-
Phone No, - 7,- �'?c-.I.37�
7
E-M a i i.('--IV u/b,
State or County License: C
or more, a RECORDED Notice of Cammencement is required, ��
Name:
Address:
City: State:
Zip: Phone
PEE SIMPLE TI1'Ll: HOLDER: Nat Applicafale BONDING COMPANY: ....--
Name: — ,..Not Applicable
Address: Name:
C9ty:
Zip: Phone:
MORTGAGE COMPANY -
Name:
Address:
City: state:
Zip: . Phone:
Address:
City: - -
Z€p: _ ., Phone:
.4._. Not Applicable
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 conffllict with arty applicable biome 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, 1 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 acre
WARNING TO OWNER:
improvements to your I
before thp first insioecti
scary uses #o another non»residential use
Your failure to Record a Notice of Commencement may result in your paying twice for
iroperty. A Notice of Commencement must be recorded and pasted on the jobsite
an. If you intend to obtain financing, consu eftdeFQi_4�nattorney before
CQF E li1' Native of f mmP,anrn vy,.
;_ Sigriature'o€.'owner/ Lessee/Agent m !B
STAVE OF FLORIDA
COUNTY OF=�
The forgoing instrument Was acknowledged before n 9 =
this, day of 20 i•;@
Lela
sme.Pf person
%Q'16 Luve or rosary Public State of Florida )
Personally Known �JOR Produced Identification
Type of identif€catlnn Produced
Commission No.(seal)
Revised 07/15/2014
STATE OF FLORID
COUNTY OF � � �• �
The forgoing instrument was acknowledged before m �„
this day of 20 A4by . .o
n 90
Personally Known J�OR Produced identification
Type of Identification Produced
Commission No, (Seal)
REVIEWS I
FRONT ZONING PLANS
COUNTER REVIEW 1 S REVIEWOR I REVIEW
COMPLETE
INITIALS
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW