HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
planning and Development Services
Building and Code Regulatlon Division
2300 Virginia Avenue, Fort pierce FL 349,92
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
R�sidentiai
PERMIT APPLICATION FOR: To Select from dropbox click here
PROP.0SED ft,JPROVEM:8:N.T LbCATf N W u lz
Address:
Legal Description: R,`
Property Tax ID #:Site Plan Name: Lot No.
Roy
Project Name: Bloch No,
Setbacks Front_____. Rack:
_. Right Side; Left Side;
DETAILEDIESCRtTION OF11ORK.
CONSTRUC ' :INFORiVIATION_•
Uttona wor o e orme un ert sperm �c ec a
WAC aPp Y'
�GasTank ❑Gas piping A g � Shutters � L�Electric Z Plumbing []Sprinklers Windows/Doors
Generator � Roof
Cost of Construction:
Total Sq, Ft of Construction;
$ �_� U S Ft, of FErst Floor:
Utilities: Sewer []SePtic Building Height: ..
. VYY NI'Rf LGY?:7�1: e.
Name G t .a4Z "mil l CONTRAOTO'R;:
Address-,
Name: one rat t,�4
city.. ' f'11 Company: "N y �I '
ZIP Code; < State:tr Address: 5G A1� ?��,_ Fax: � City: "-� PhoneNo. � 4, �o: Li , State: ��-
E-Mail:Zip Code,.,:: � Fax: 77.2 `,57! Gf&e
Phone No, 742-
Fill in fee simple Title Holder can next Page { If different E-Mali, �t �+-^ a. VI/-r��ti,_ c
from the Owner listed above) - . - Z—Cr S �Ci7
State ar County license:, "'
If value of construction is $2500 8r more, a RECORDED Notice of CoMencement is required. �I
Name: .
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _,__Not Applicable
Name:
Address:
City:
Zip: Phone:
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.
5 . Lucie County make no repress tation that is granting a permit will authorize the permit holder to build the subjects ructure
w Ich is in conflict wi any applicable Home Owners Association rules, bylaws or and covenants that may restrict or pro obit 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 wail, 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 first inspection. jf you intend to obtain financing, consu e�attorney before
..L:'9lgriat6re'of:4wner/ Lessee/Agent
STATE OF FLD t A N
COUNTY Of �. u�t � 't-3 @
The forgoing Instrume was acknowledged before r IF
this day of 20 .L,by
212
person
attire of Notery Public- State
STATE OF FLOR r`
COUNTY OF "
The forgoing instrument was acknowledged before m
this �1'4—day of20 �—') by
Personally Known f�QR Produced Identification Personally Known L�'OR Produced Identification
Type of Identification Produced Type of identification Produced -�
Commission No.1—EL ' J-7 (Sealy Commission No, XFE'M(dr1 (Seaq
Revised 07/15/2014
}REVIEWS FRONT ZONING SUPERVISOR PNS VEGETATION SEA TURTLE MANGROVE
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