HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ^2�� (� Permit Number:
ouiming rermil Hppiicavon
Manning and Development Ser ices
Building and Code .Regulation Division
2300 Virginia Avenue. Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PEKMI I APPLIC;A I ION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPKUVEMEN I LUCA I ION:
Address: F Q l7 A,_AAIP. LeIZC%7
Legal Description,:
Property Tax ID Ii: 2 ya 5 ^ 7,!q5 Do0=
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DE I AILED DESUKIP I ION OF WORK:
�,�, t. � '->, �,lfr P_ 3 s T� /�/SP`'r ��rnx�.- gam' /p�✓
Lot No.
Block No.
CONiR CTION INFORMATION:
Ad3k under this permit - cFiec a appply. -"— - -
HVAC []Gas Tank ❑Gas Piping Shutters F—ltiNindows/Doors
IJElectric El Piumbing Sprinklers Generator Roof Rcof pitch
Totai Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Y37 1�/ Utilities: E]Sewer Septic Building Height:
OWNERAESSEE: �} CONTRACTOR:
Name 4�/
Address:&�/ %�Gdd1 _ CcGL
City: �0�� Q�� CZ� State: 1'4
Zip Code: Fax:
Phone No. 7 2 a L-F y, lv.2- 7S
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: GUVCTh1a0\ L J"
'.Company: Cus-rom A , r Su s 1 Lems LNG
Address: I'�(S S E VA I aa-t !�recn 0 r'
City: (02T 9t . C oci z_ State: r'Y-
ZipCode: a+g59.- Fax: 77�?- 335-196�
Phone No. '7rla. 335-3.232-
E-Mail: 0-4 St&Ir Ctis y ctol•CGvm
State or County License: � 4 C 5 (810
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENIALCONS IRUCTION LIEN LAW INFORMATION:
1Jr-11cu1urrVttvvi1vtttt: -_•_- Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City
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 permitv_ill authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws orand covenants that may restrict or prohibit such
structure_ Please consult :•nth your Home Owners Association and revie a your deed for any restrictions 4vhich may apply.
in consideration of the granting of this requested permit, I do hereby agree that t .yill, in all respects, perform the erork
in accordance with the approved plans, the Florida Building Codes and St_ Lucie County Amendments.
The following building permit applications are eaemptfrom 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 to Record a Notice of Commencement may result in your paying twice for
improvements to your property. 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 recording your Notice of Commencement.
s
i
Signature of OE=,:per/Lesseef Contractor as Agent for O:41ner r Signature of Contractor/ License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ COUNTY OF
The forgoing instrument :=ras acknowledged efor2 me The forgoing instrument was ackno►viedged before me
this day of this day of — 20 by
(Name of person acknmMedging) (Name of person ackno.s [edging )
(Signature of Notary Public- Stat of F orkla) (Signature of Notary Public- State of , ioriri
i
Personalty Known OR Produced Identification Personalty Known 0.OR Produced Identification
Type of identification Produced Type of identification Produced
Commission No-'.;.* _ - 2qs °t CHRMIM8 mission No.
* * WCOINSM# 3GOMM * t 1
-
Revised 0:i15;i201 f t'iyi0x#C_Go'>gga
SPIRES.-AmH4 2t»r
REVIEWS
FRONT ZONING SUPERVISOR PLANS i/EGiTATiON
SE4TURTLE
MANGROVE
COUNTER REVIEW REViEW REVIEW REVIEW
REVIE%A'
REVIEW
DATE
COMPLETE
i
INMALS
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06MG