HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Appiic_ation
Flarining and Developtrent Services
Building and code Regulation Division
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462.1578
'rbmmercial
R�sidentiBl 11/
PERMIT APPLICATION FOR: To Select from dropbox, click here
PROPO8ED'1'N PROV£M:tNTLOCATI.'ON.
Address: _ —1 LG ( H a I vt ( t tn1\) A \i-erl
Legal Description:
Property Tax ID #: 2Q ' (� ()L2L
Lot No. �0
Site Plan Name: Block No,
Project Name:
Setbacks Front_ Back: Right Side: _ Left Side:
DETAILEM- tSCRIPTfON OF WORK :
CO NSTRUCiTIONr:INFORlAA. TION..`
t onal wor a e e Dime un ertriisliinrriiC ill fflu app Y;
�HVAC Gas Tank ❑Gas Piping IShutters
:]Sprinklers
Windows/Doors
Electric Plumbing i11 Generator Roof
Total Sq. Ft of Construction; S . Ft, of First Floor:
Cost of Construction: $ � utiIities:n Sewer CSeptic Building Height:
a
f11F
Address: A A
City: State:
Zip Code: Fax
Phone No, ' - -a _fir
E-Mail.,
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
Name: aN A,1 (,C4,n3..IJA
Company: til rP,4-A6
Address: ,5G' l ,erc� P/e
City: �at�' s i C�u� c_'� State: F',tr
Zip Code., 2 Fax: 'T 17,2 -g,7 / c, ?&g
Phone No.
E-Mail. C— -cc�. Lev >� VL i V, � r v� ec
State or County License: IC Z � "'
If value of coltstructlon is U500 or more, a RECORDED Notice cf Commencement is required,JJJ
Name:
Address:
City: State:
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.
St, Lucie County male no representation that Is granting a permit will authorize
uthori or and permit
coveholderants t may restrict tbor prohibit such
which is in conflict WIR any applicable Horne Owners Association rules,bylaws
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, l do hereby agree that I will, In all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. 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 I first ins ection. If you intend to obtain financing, consu ender ^ attorney before
�,-r car rprnr E ur Notice of Commencem --
Signature af-Owner/ Lessee/Agent
' �^
STATE OF FLORIDAs
g It °7�
9�
COUNTY OF S a �"
-
�92
The forgoing Instrument was acknowledged before ip ia
this 2;..L day of �2 hP i�,. 20 i_`L,by
' a�
NO
person
ature
of
Personally Known OR Produced Identification
Type of identification Produced
Commission No- 1— . (Seal)
Revised 07/1.5/2014
.Signature
STATE OF FLOR
COUNTY OF L The forgoing instrument was acknowledged bTT
this ( day of �L�.� 20 b1' ��t a
Personally Known L ,- OR Produced Identification
Type of identification Produced
Comrnisslon No. qaz 0 "! (seal)
REVIEWS
FRONT ZONING SUPERVISOR PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW REVIEW REVIEW
REVIEW
Rl ViI:W
REVIEW
MATE
COMPLETE
INITIALS