HomeMy WebLinkAboutbuilding permit-""�'�catlonsm
AN APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: 2-/ct ?-d
—�— Permit Number:
yi M.
•i / S
Building Permit Application
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 TYPE: J��t v) C
PROPOSED IMPROVEMENT LOCATION: 0 Y .
Address: % GL, I ro D r-
Property Tax 10 #: 3 q,6 a L Lot No
Site Plan Name: GL. Block No. 1D �
Project Name: Y
DETAILED DESCRIPTION OF WORK: �.�- ��p ��y��- C ��X o P
A I A�. A, d U � 7,,,' n J� �v.NI Q.v �vi I I vJ �P.. � � i L (i <R1 CJl �F cyl CAP %(��/.,�
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I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _, Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ z9iOb r-
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
OWNER/LESSEE: CONTRACTOR:
a
City:�� j Jt State:
Zip Code:--3 L/ q �- ;1- Fax• Y G� .
Phone No71,; -3 N -12:47
E-Mail: if 17 /,1- —
Fill in fee simpk Tide Holder on next Page l If different
from the Owner Bated above)
Building Height:
Company: - "
Address: S O co -
city: (_ State: L
Zip Code:.3Li `i�' 3 Fax: it X
Phone No 7 G"7 7
E-Mail L lvla l . L d1'v'
state or County License a?7 �1 ,35 &
If vskm of cotsructbn is $2 W or more
,, a RECORDED NoHca of Commencement is nqub -
N valor of HVAC Is $7,SW or more, a RECORDED Nonce of Commencement is roqutred.
wppLEMENTAL
,/ Not
LIEN LAW INFORMATION:
Name:
QYAddfess` State:
Zip: Phone
FEE SWLE TM HOtDE1t; Not APPI-icabie
Name:
Address:
Phone:
MORTGAGE COMPANY:
.0 . ►.'. -, .-
Name:
Address: State:CRT-
—
zip; Phone:
BONDING COMPANY:
Name:
Address:
Zip; Phone:
Applicable
0WpjW (OKMCTOR AFFIDMT: Application is hereby made to obtain a permit to do the work and installation as k ed-
I certify than no work or installation has commenced prior to the hPJance of a permit
SIL that is a wiN authorize the permit homer to build the subject structure
w lucie makes n m a. p s p rWe% bylaws or an�i covenants that may restrict or pmhH* such
which is� and deed for any rx
structure Please consult with your borne Owners Asgo�on and review yoix
tionS which ffw apply
In ration 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 foltowi g buil iog permit apPlicabOns are eximipt fromwdergoinga full cwncuremY review room adWtions,
acu=sory structures, swinxnirig pools, fences, walls, signs, screen rooms and accessory uses to another non4esidential use
�M/I1Rl�G To O"WSM TOM FAKjLME TD RECORD w NOTICE OF COMli1F1gC�T MAY RES � Y
TrlICE OM PAVM
FOR lRO�iS TO YouR pROpBEIT_ w NOTICE OF IF � WFEND TO �w■� �cfMc,
ECORDED AND
p061f® Or TIE JOB SITE THE FIRST RECTIO yam NOTICE OF
.mr rrwm rL� R OR AN ATTORNEY RECORK COPSMT
i
STATE
COUNTY
TheVMS admawledged before me
fo<r� of � � bV
Marne of malft staement-
Personally R,wwnoft Produced Identification
Type of identification
Produced _
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Fjj� cif" Pubic • VI16;mftdw t GG =4
STATE COWTY �� OW %GE
rrt was th adaxiwie�bfore me
by
Marne mal&w statement.
Personally Krwwn OR Produced IdentiTcation —
Type of Identification
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