Loading...
HomeMy WebLinkAboutBuilding Permit Applicaiton ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p Date: _I)_DJVD_D Permit Number: rr 3 Building Permit Application3 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line P�ROP.OSED"(MPRO�EMENT C CATION - �. `` fx,* . ... ._il �t. Address: L ()r%qc le— >C i Legal Description: =rV7'Gen Z.,ic'C' Property Tax ID#:3UOa-009-(,-)5A3 -00O'-2 Lot No. 3S Site Plan Name: Block No. .0_ Project Name: Setbacks Front Back: Right Side: Left Side: 71 DETAILED DESCRIPTION `OF V1fORK � xy+f'� Fz i r. -r- C_ C''OI�STRUCTf©NIINFORz1VfATION ' y .L.F'4_..n.._a r .t-,..c•,,,., .._. ,..��. d . itiona work toe e orme under this permit—check a appy: OHVAC E]Gas Tank ❑Gas Piping Shutters a Windows/Doors Electric El Plumbing Sprinklers M Generator F� Roof �V Total Sq. Ft.of Construction: SFt.of First Floor: Cost of Construction:$ l5$ d . $� Utilities:nSewer Septic Building Height: OWNERf LE�SSE sf r` k r `;CONTRACTOR �,�--.�l� Name f���CGne ac �nr`'i e.. [tJebe e Name:".�e'��1 ��� sjL A�uaki, ' •c-[" Address:ta L 07 �'P_ I . Com an —T City: co C_ e,c ce— State:r Address: Zip Code: SLiGg of Fax: City: L✓ d;m, eea O State: Phone No.?7Q Zip Code:31541 D - Fax: --F41 -'`5—X•q-®5- E-Mail: Phone No. 5("t e Fill in fee simple Title Holder on next page(if different E-Mail: y� from the Owner listed above) State or County License: C 2 00 aa-'R 31' If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. x� x :1�4PLENJ' NA ' ON"S aRUCTIONYLIEN LAIN INFORMATION t G4 t}` 4 ' S� "`44.�lc,� DESIGNER/ENGINEER. _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit 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 i 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recp,[cling your Notice of Commencement. s _Signature o Ow Lessee/Agent \Zpvllure of Contractor/License Holder STATE OF FLORIDA I STATE OF FLO&IDA COUNTY OF b}. LU&P- COUNTY OF 1!15 tp q 3 The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me thisday of Cc 1ti 20C.11 ,2rby thisL day of 20 by wcy(Ac, Janea 0- (Name of perso ackn ledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signatu of Nota ublic-St3p6of Florida) Personally Known OR Produced Identification Personally Known L-""OR Produced Identification Type of Identification Produced Type of Identification Produced CN%y PJB W.0WO't-1-% r° �% CegANGELAYOUNG Commission No. Notary Publi���of Florida Commission No. � � � IVeronika Swords = . * MMISSION#FF 951069 N XMy Commission GG 221636F of EXPIRES:April 12.2020 0. • .• N.0 get"..ry zw&-s Revised 07/15/ 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO M PLETE i INITIALS