HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: --Cq—n
Permit Number:
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RECEIVED
Planning and Development Services Building Permit Application AUG 19 2020
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting DepartmentSt. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-I578 Commercial . Residential
PERMIT APPLICATION FOR: To Select from droll click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID #:
Site Plan Name,
Project Name: .)As i
i_)1,
-------------
Setbacks Front Back: — Right Side: — Left Side:
DETAILED DESCRIPTION OF WORK:
luto pwk, sal,
CONSTRUCTION INFORMATION:-
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h ��,t �jspurm�it_cl
iona war to
OHVAC Gas arms
d
l��l
asT@nk OGa5 Piping
0 Electric Plumb'
in, OSprinklers
Total Sq. Ft of Constr"rtin� `f"
I�
apply:
Shutters
Generator Roof
Sq--LFt. of First Floor:
Cost Of Construction: $ Utilities:Sewer
OSeptic
OWNER/LESSEE:
Name
AtI_ A Al. i Q C
Address: 1-),9 sq S_ u C
City:
—State: (C
Zip Code: Fax:
PhoneNa.
E -Mail:
Fill in 'fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
Lot No.
Block No.
rs
Roof
Building Height: _
Company: r--l-h n
Address: [0 1
--J J
City:
State:_LL_
Zip Code:
:2 Fax: :'7�,,)
Phone No. 1 -7-
E -Mail:
-�A
State or County License:
if value Of construction is $2500 or more, a RECORDED Notice Of Commencement is required.
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DESIGNER/ENGINEER:
Name: Not Applicable
Address:
City:
Zip: Phone: State:
FEE SIMPLE TITLE HOLDS
Name: z Not Applicable
Address:
City.
Zip: Phone:
MORTGAGE COMPANY:
Name: NatAfaplicable
Address:
City:
Zip: __�� Phone:
State:
BONDINGCOMPANY
Name:
Address:
City:—
Zip: -„-- � Ph
—Not Appficable
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
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants €ha€ may restrict or
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
structure
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, prohibit such
in accordance with thea
approved plans, the Florida Building Codes and St. Lucie County Amendments�eorm the work
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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result ' use
improvements to your property. A Notice of Commencement must be recorded and posted on the "
before the first i ection. if you intend to obtain financing, consult wit ender or an alto paying for
cornmencin rk or r din our Notice of CCll' cemenf_ Jobsite
attorney before
ntractor as Agent for Owner
STATE OF FLORID i
COUNTY OF y`4A_
The forgoing instrument was acknowledged before me
this 2 day of
20 ,Lj_by
e l
(Name o persona cknowledging
{Sign ure of N 'aiy publlc- state of Florida }
P sonally Know OR Produced Identification
en i ication Produced
Commission No- A7 Ypue (SeaN�`L.FR�%CQ
��' Enmmisston # G a 328779
2023
Revised 07115/2014
STATE OF FLORIDA
COUNTY
The forgoing rostrum nt was acknowledged before me
this day of 20 C� by
{Name of persoa� acknowiedging
of Notary*Ublic- State of Florida )
Personally Know OR Produced Identification
YPnt" ication Produced
Commission No. A7
2oi�v+ig�(Seal) dE.NHAL.FRANGQ
Commission # GG 328779
r * r_vniras Avri4 29,202a
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
)ATE
.O M PLETE
INITIALS
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VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW