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HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: r I Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: „?-)00 a I LJ- P do E 4 Property Tax ID #: Site Plan Name: Project Name: Permit Number: Building Permit Application DETAILED DESCRIPTION OF WORK: Commercial .�, 00 (D— Residential 1/7 Lot No. Block No. CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: —Mechanical _ Gas Tank _ Gas Piping Vlectric — Shutters ` Windows/Doors _ Plumbing Sprinklers Total Sq. Ft of Construction_ _ Generator Sq. Ft. of First Floor: _ Roof Pitch Cost of Construction: $ Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name LLrZ Name:,'/`, ✓r�/+— Address. a_)OG Company: r [a City: c a'� Pi -erre- State's f` • Zip Code: 34gL(� Fax: — Phone No. �1� - L-3'� _ Address: City: _ e e z�,. Zip Code:_ S9_Y Phone No_>,>d - d State: - Fax: ----_ E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail 3''il ( - State or County License f' 0 46 If value of construction is 52500 or mnrw. n RIPMRnrn rq. +: , „s.-..... ___ �___ .,.o...cn1-erRe[IL rs requwrea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,fnaking Personally Knowlyl DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Narne: Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name- Name: Address: Address: City: City: Zip: Phone: Zip: Phone: rilhliurp/ rnmuToArrno Arrnsn�r_ ,,,,,, , , „N�,,,cdi,on is nereoy made to obtain a permit to do the work and installation as indicated. I certify that nyo work or installation has commenced prior to the issuance of a permit. whiucie ch is nocontflictt with any no applicableiHome Othat wnners Association rules,t will authorize or and covenants thto at may restr� tb©r prop bit 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 "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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature oo er/ Lessee/Contractor a for Owner STATE OF FLORI A COUNTY OF / 4-11 The forgoing instrument was acknowledged before me this -& day of i ay 20c 11 by Name of person statement, ,fnaking Personally Knowlyl OR Produced Identification Type of Identification Produced 17 (Signature of !Votary #a�rII�ISKI Commission # GG 918421 Commission No. Expires t]ctc02023 9ortded Tik Ir troy F* InW8300 80x385 7019 REVIEWS FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED of Cofactor/License STATE OF FLORIDA' COUNTY OF_ j , O The forgoing instr ent was acknowledged before me this 'Q2—day of7 J0 -by Name of persdn making statement. Personally Known OR Produced Identification Type of Identification Produced re of Notary —4;,: .: 4ommission # GG 918121 Commission No, '';...•,P;°` Expirss0ctoe4023 �' 8e+ided Thru Tro ain ns rertca 800.38&7019 SUPERVISORPLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW I REVIEW