HomeMy WebLinkAbout14542 Dalia AvenueAIIAPPLICA
Date:
LBINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit APP|ication
Planning ond Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (7721 462-7578 Commercial Residential
Property Tax lD #: Lot No'-
site Plan Name: : Block No'
ProjectName: Far LtO*/
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical
{ilectric
_ Gas Tank
_ Plumbing
_ Gas Piping _ Shutters
_ Sprinklers _ Generator
_ Windows/Doors
Roof Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: 5 /rco Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
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PRGPOSED IMPROVEM ENT LOCATION:
DETAILED DESCRIPTION OF WORK:
State: FL
Fill in fee simple Title Holder on'next page ( if different
from the Owner listed above)
IGNE
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ENGINEER: __ Not Applicable
Add
City
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name;
BONDING COMPANY:_Not ApplicableFEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
owNER/ 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.
St. Lucie Countv makes no reoresentation that is erantins a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owilers Association rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult With !our Home Owners Association and review'your deed for any restrictions r,rihich may apply.
In consideration of the granting of this requested permit, I do hereby agree that lwill, 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
T}YICE FOR IMPROYEMENTS TO YOUR PROPERTY" A NOTICE OF COIIIMENCEMENT MUST BE RECORDED AIUD
POSTED ON THE JOB S|TE BEFORE THE FIRST INSPECT|ON. tF yOU INTEND TO OBTATN FINANCING, CONSULT
}YITH YOUR AN RECORDING YOUR NOTICE
Signature of Owner/ LesseelContractor as Agent for Owner
STATE OF FLOR
COUNTY OF
as acknowledged before me
Personally Known v/ OR Produced ldentification
Type of ldentification
Produced
Commission No.
arhe of person making statement.
Public- State of Florida )
Signature of ContraUtor/License
STATE OF FLORIDA
The forgoing instrument was acknowledged before me
this _ day of
Personally Known t OR Produced ldentification
(Signature of y Public- State of Florida )
Name of person making statement.
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MY CoMMISSIoN # GG 030145 ssr0N # cG 030r45
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