HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Building Permit Application
PJonning and Developrrten#Services
9u11d1rtg and Code Regulation D1v1510n
2300 *Wnia Avenue, Fort Pierce FL 349$2
Phone: (772) 462-1553 Fax: (772) 467.157E COn"imercial -
4sidentiai
PERMIT AAPitCp,TION I'vr%: To Select from dropbox, click here
!'RUPC}SIrD iiVPRQ1IEME`NT I.00►QT(QN f GS
Address
Legal Description:"lF
PropertyTaxlD#: �`lQa - C✓75_ C'�3L; —�
Site Plan Name,_. Lot No.
Project Name: Block No, `
Setbacks Front----. Back:
Right Side,^ Left Side;
D1=TAILE: Dlb*R-iPT]ON OF il1l `RK 1
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t
CONSTRUC [ YIV INFORM ITION,•
one wor a a ae orme un or sperm, —c ec a
HVAC aWA Y�
Gas Tank Gas Piping
p g Shutters Windows/Doors
Plumbing OSprinklers
Generator � Total Sq. Ft of Construction; Roof
Cost of construction: S Ft, of First Floor.-_ Utilities,
�geweC [:Septic Building 41 /NIrR/LE5-S,E:E — g Height.,���.,
Nam
xavress: �" - ��.� It �. --
City: izar U./
State:
21p Code: Fax;
Phone No. — 4,q 4- I
E-M.ail:.
Fill in fee simple Title Folder on next page { If different
from the Owner listed above)
If value of eonstruction is sis or mare, a
Name: f nl M e g 14 JA
Company: ti(le ------ t/f 6i��C / I1 CT",
Address.,—
ft� /
City: fit— i Lcrc.�
ZIP Code: state: r4,
Fax: 770
Phone Nv. 7� � 78 -
E-Mail, AU_ii of�`P�.L'C —
State or County Licenser J�G;
Notice of Commencement is required.
Name:
Address:
City: State:
ZIP: Phone:
FEE SIMILE TITLE HOLDER: „_ w Not Applicable
Name;
Address:
City:
ZIP: Phone:
MORTGAGEWMPANY: Not Applicable
Name:
Address:
City: - State:
Zip: Phone:
BONDING COMPANY: _,_Not Applicable
Marne:
Address:
City:
Zip: Phone,
I certify that no work or Installatlon has commenced prior to the issuance of a permit.
5 Lucie County malt no representation that Is granting a permit will authorize the permit holder to build the subjects tructure
w ich Is In con ict wit�i any applica le Home Owners Association rules, bylaws or andcovenantsthat may, restrict or pro Ibit 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, 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 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_tbAfirst inspection, if you intend to obtain financing, consu emdeHu,-m attorney before
.;- Slgriature'of:owner/ Lessee/Agent ;
STATE OF FLO Alma
COUNTY OF e
The forgoing lnstrun;ent was acknowledged before nI �A
� 2� .bY athis__�-day of �
person
State of Florida
Personally Known �.01; Produced identification
Type of Identification Produced
Commission No. I (seal)
Revised 0711512014
STATE OF FLORJP4?
COUNTY DF c
&X*
The forgoing instrument acknowledged before m
_
Q
this l� day ofi f - 24 _ift by
o� ie
Personally Known l./�OR Produced Identification
Type of Identification Produced
Commission No. 6C— (Seal)
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS