HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY a a 1 D A
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
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Address: 3-q [V\LCt r , S 3qqq5
Legal Description: 33C3 taos- 6F U-) Pa r24- diC S flTh
Property Tax ID #: c34 aeOcrj 3-flY3 Lot No.
Site Plan Name: PCLLO V11Cy')C4 Block No.
Project Name: f?(yj
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Electric Plumbing []Sprinklers [1 Generator LII Roof Roof pitch
Total Sq. Ft of Construction: S . Ft of First Floor:
Cost of Construction: $ Utilities: Sewer E Septic Building Height:
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Name Name: k a -
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Zip Code:qLl. Fax: City: State:_
Phone No. ThThS I~cmã- Zip Code:333a-T Fax:
E-Mail: Phone No. -
Fill in fee simple Title Holder on next page if different E-Mail: '( Ct3S4 4 A-k Tirl r, eü
from the Owner listed above) State or County License: CPce3s31a- I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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thisddayof c3lA I. , 20
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Revised 07/15/2014
Signa TI7' • 'ractor/License Holder
STATE OF
COUNTY OF
DESIGNER/ENGINEER: - Not Applicable MORTGAGE COMPANY:
Name:
Not Applicable
Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable - BONDING COMPANY:
Name:
Not Applicable
Address; Address:
City: City:
Zip: Phone: Zip: Phone:
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 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 yourdeed 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 -Record a Notice of Commencement may result in your paying twice for
improvements to your propert 'i'bJce of Commencement must be recorded and wsted on the jobsite
before the first inspection. 1,-i nt: ci to obtain financing, consult with lender .,' n attorney before
commencing work or rec' 6111, o Notice of Commencement.
/ Signature f 0 - Lesse- . Fractor as Agent for Owner
STATE OF LoRir
COUNTYOF W
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION REVIEW SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS