HomeMy WebLinkAboutbuilding permitRECEIVED 04/09/2020 09:43
All APP1_q1LJ INFO ST 6E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:, Permit Number:
Building Permit Application
plonrning o Development Services
Ruilding and Code Regulodon Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone; (772) 462-ISS3 Fax: (772)462-1.578 Commercial Residential
------,.1.---- ----_.. _ I
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PERMIT TYPE: OJA C.
Address:
Site Plan Name:
Project Name;P
dditio al work to be performed under this permit —check all that apply:
echanical Gas Tank Gas Piping Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $'
00
City:
zip Code:
Phone No
—Generator
Lot No.
Block Na.
— Windows/Doors
—Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Clty: M
Zip Code:
Fill in fee simple Title Holder on next page ( if different E-Mall(a 6C4
Ifrom the owner listed above) State or County lice
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is rec
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
RECEIVED 04/09/2020 09:43
Name:
Address:
City: State:
ZIP: _ Phone-_— —
MORTGAGE COMPANY: Not Applicable
Address:
City; ..—,..,..,_,^.^State:
Zip: ^ , Phone:"`
FEE SIMPLE TITLEHOLDER: ___ Not Applicable BONDING COMPANY: _—Not Applic plc
i Name:
Name:
'I Address$*_ �-- I
— Address:
City' _ — I City:—, �_._..._..— — —
i Zip: Phone — ! Zi Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work andi certify that no work or installation has commenced prior to the issuance of a permit. installation as indicated.
St, Lucie Countyy makes no representation that is gren'ting a permit will authorize the permit holder to build the sub J1 ect structure
which is in confiirt with any applicable Home Owners AssocAssociation rules. Wows or and covenants that may restrlt2 or prohibit such
structure. Please consult with your Horne Owners Association and review your deed For any restrictions which may apply,
in consideration of the granting of this requested uerma, I do hereby agree that i will, in all respects, perform the work
in accordance with the approved plans, the PlarldR building Codesand St. Lurie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room addition$,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"LYARNNG_TO OWNER: YOUR FAILURE TO RECORD A NOTICE Or cOMMENccmENT MAY RESULT IN YOUR PAYING
T"CE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE *BEFORE THE FIRST INSPECTiON;,J pu INTFJ+10�IN FINANCING, CONSULT
W11N YOUR LENDER OR AN ATTORNEY BEFARE RECORDfNGIYOURINO'rWF t' uka CYCMT »
r
Signat e f Own ' Less �/C ttra"or Agent r Slwner
STATE OFF _C)Vj W
COUNTY OF C�[�('A`-�p�.,r��.._._......__._
The f ning instr mM y+.,s acknowledged before me
this I day of ,.__, 2deDy
Name of Person making statement
Personally Known OR Produced fdwntiflcacioraC-i _
Type of Iden r n�
plodused
of
of
STATE OF FLORI
COUNTY 0F_h2 -m
The Ding tnstr meat was acknowledg before me
this clay of,;�u�, 2Oy
Name of person snaking statement.
Personalfy Known — OR Produced Identification
Type of Identificet:i n
.,1 20
., NING SUPERVISOR PLAN
i REVIEW' ; REVIEW I REViE4•V
.,,� G�Gltc-Srefe or Flan
i PRISOILIAM TORRES
MY CdMMIS3fON jr GO 20P
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