HomeMy WebLinkAboutNoyes AppII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Commercial Residential ✓
Phone: (772) 462-'1553 Fax: (772) 462-1578
�
PERMIT TYPE;
Address: lqD Ntvi,l !^�k
ti(Srm( 4c, A�1 A i Vtl 3'4
Property Tax ID #: -1 � ab
Lot No.
Block No. �
Site Plan Name:9.Y�S �1Q. twirl
_
Project Name: —
�P,NSTRUCT:(A, !NFORMATIO
0.1
Additional work to be performed under this
permit - check all that apply: j
`� Windows/Doors
_Mechanical _ Gas Tank
_ Gas Piping , Shutters
_ Electric _ Plumbing
_ Sprinklers _ Generator — Roof Pitch
Total Sq, F` c` Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ _ 6, 0 0• U0
__._ Utilities: ' Sewer _ Septic Building Height: _
.. --
CONTRACTM
Name �r,Q D cY rlOi%$
Name ICi1f1Q �.t,(�reS
Company: lu k &TW IC of P�(¢�Icc4 fk,A �Bbow�,,r��
Address: li-}0 �ItI�ID� Cr,-
— � D�,"�"
Cite: A-17(111 -0q- ��LIkNND
State: eLL Address: 110 B 1_QMak4U*- Df'
Zip Code: Fax:
City: h1(1f4"� r�A2•YLLGG� Stater
_�4g1il, G
Phone No. rJ(D1-_ 31-1- (9�iL�3
Zip Code: 32;gbl Fax: 3x-- r' 4)
Phone No -7-7 a- 337- 4110
E
Fill in fee simple Title Holder on next page if different E-Mail 9LJA.M ?rP��"Stan r �t�C•�'1R.-�'
fram the Owner listed above)
State or County License a 01'15f
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is y7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name -
Address:
City:
Zip: --- _ - -- Phone_
FEF .SIMPLE TITLE HOLDER:
Name:
Address:—�
City: _
Zip: _ Phone: —
_ Not Applicable
State
___ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address -
City:
Zip: Phone:
)WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
A. Lucie :oil tv snake; no rep!esentation that is granting a permit vviil auihorize the permit holder to build the subject structure
rvhich i�, in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
;tructure Picas? consult with your Home Owners Association and review your deed for any restrictions which may apply.
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
e following building permit applications are exempt from undergoing a full concurrency review: room additions,
�s,:or; stncct.IrE s, sw'irming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
YARNING TO OWNER: YOUR (FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
'TWI';E !FOP LMPROVEMENTS TO YOUR PROPERTY. A RNOTPCE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
..,,,-ti v ns,n : Cw4%rU ho AN A•r•rnR!y! y LaFFnrsF RFiropniNlG vouR NOTICE OF COMMENCEMENT."
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Signature of Cwner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
S,A TE ::F FL'-�'A STATL OF FLOPMAI
COUNTY ems= ���--- --- — COUN FY OF
The Forg(wi - it stri Ir4enc was acRhowieciged uefore me l Ot (oigoing instrument was acknowledged before me
this day or 202D by this _�day of 20_26by
Name of person rral<ing statement. Name of person making statement.
Pertzonaliv Knowr• _ ___ OR Produced Identification Personally Known OR Produced Identification
Type oi} icient-ficat.r. Y iype or identification
Prc,du" Produce
•
ignature ofXotPublicState o orida) Ignature of N Public- State of Florida )
Cornrnission+Seal CommisSionNo./0!'9 7U ��5 ) l =o� ��)4PX11r:,A1
Publicat
n
__— JAY hMNotary Public State of FI ri_da commission
`T.- --- ey ntonelli cola 2
REVIEWS FRONT Eyp i 1 29710LA VEGETATION SEA T
COUNTER V R VI REVIEW REVIEW
DATE
RECEIVED --
DATE
2/7/1.9