HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEt3
Permit Number:
Building Permit Appiic.atinn
Planning and Development Services
Building and Code Regulation Divislon
2300VIrgln[aAvenue, Fort Plerce FL 34982
Phone; (772) 462-1553 Fax: (772) 462.1578
Commercial _ Residential
PERMIT APPLICATION FOR: To Select from drop click hereelL—
Ropo>sENPROVEW NT•I OCA i.04V
;..a
-box,
Address; f �T 4 °�'
Y U
9___
Legal Description:
Property Tax iD #:. d o�_ I o -
Lot No . + 2
Sete Plan Name:
S Block No,
Project Name:
setbacks Front-. Back: `-
Right Side:
Left Side:-
DETAiL>;DdEkR-]PT10N.�Qf 1lVORK=
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L� k�
CONSTRUCT:O� #(I OR�NMATION:i
AdcliIona root o e e arms un er i s perm - c ec
C�HVAC � Gas Tank
a
a Pp Y:
Electric RS PlumbingSprinklers
Gas Piping
_ Shutters
i,� Windows/Doors
Generator
� Roof
Total Sq. Ft of Construction:
Cast of Construction: $
Utilities;12Sewer
5
Ft. of First Floor:
septic
Building height:
Name _7A
Address; >Q
City: �K.rc
State; fC
ZIP Code: --Fax
Phone Na. � 3- -� � :, C .
E-Mail:. s
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
If value of construction is $2500 or mare, a
Name: Orr/
Company:
Address: 2' A r-)
City: a£t� ` i Lu'c: tr State: F�
ZIP Cade, 3� Fax: 77.2 _97/ 1119&
Phone No. 7X�- ? r�.3
E-Mail. W-4 D1G ^�` (1M�GC6�
ts. Cc
State or County License; J ,
Notice of Commencement is required.
Name:
Address: State:
City:
ZIP: Phone:
FEE SIMPLE TITLE HOLDER: _ _ Not Applicable
Name:
Address -
City;
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address: state;
City,.
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,
5t. Lucie Coon s make no representation that Is granting a permit will abylaws�dr and covenants that may. restrict air prohibit such
which Is In conflict Witt any applicable Home owners Association rules,
structure. Please consult with your Home owners Association and review your deed for any restrictions which may apply..
In .in accordance with the approved plans, the Florida Building Codes and Swill,
perform the work
consideration of the granting of this requested permit, I do herebaree that I t Lucie County Amendments,
The foliowing 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 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-th@ first ins talon. 4f you intend to obtain financing, consu attorney before -
ffrrrk nr rprnr ur Nonce of Commenceme
_ufQr/ Lessee/Agent notre.owneA1
STATE OF FLO 1pA
COUNTY OF
T ��mt'
The forgoing instrument was acknowledged before is
th aNay of 20 Lf by
15 7S
L t� EJ� ��i`ttltrurq
(Namepf person acknowledging) jX '
(Sig a ut re of Not6ry Public- State of Florida)
Personally Known OR Produced Identification
Type of identification Produced
Commission No.)—'-, I— (Seal)
Revised 07/15/2014
STATE OF FLOR
Ze
Z — �,
Q
COUNTY OF -
The forgoing instrument was acknowledged before m
this r`A day of r 20 by
W a
(Name of peroacknowledging
of NKtary Public- State of Florida )
Personally Known L/ OR Produced Identification
Type of Identification Produced _
Commission No.,K���d / (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
AEViEW
DATE
-COMPLETE
INITIALS