HomeMy WebLinkAbout14993 Tucan StreetFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building qnd Code Regulotion Division
2300 Virginia Avenue, Fort pierce FL j4gg2
Phone: (772) 462-3.553 Fax: {772) 462-ts7|Commercial Residential
Property Tax lD #:
Site Plan Name:
Lot No
Block No,
Project Name:
Additional work to be performed under this permit - check all that apply:
_Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
fi.lectric _ Plumbing _ Sprinklers * Generator _ Roof _ Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Constructio n:5 ll iVO Utilities: _ Sewer _ Septic Building Height:
lf value of construction is $2500 or more, a RE€ORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
PERMIT TYPE:
.State:fu
Zip code: 393.f&- r"*,
E-Mail:
xt page ( if different
from the Owner listed above)
companv: 7/ o lt P* al l*/s E 'o*TEr
Zip code: 3? c0;>
Phone No
E-Mail
* {3 9* /.{2
State or C5unty ticense €€
/
CONSTRUCTION INFORMATION :
PRO POSED IM PROVEM ENT LOCATION :
DETAILED DESCRIPTION OF WORK:
MORTGAGE COMPANY:_ Not Applicable
Name:
State:
Pho n e:
DESIGNER/ENGINEER: -_
Not Applicable
Name:
. State:
Phone
BONDING COMPANY!
-Not
Applicable
Name:
Zip:
-Phone:
FEE SIMPLE TITLE HOLDER: --
Not,Applicable
Name:
OWNER/ CONTRACTOR AFFIDVIT: Rpplication is hereby made to obrain a permit to do the work and installation as indicated,
I certify that no work or installation has commenced prior to the issuance of a permit.
i,Ir-,,'.1'is.fi"s,Y,Ii^li,'h??,irJ,"f;3itt'93*lEb',:,H!?lx:,g"19?i$'iIy!l:HiL"J!'s,1!f;dswJi!ffigill? g:\,:,::!$u"ibjFE"i'iltiiili;n
structure, Please consult With your Home Owners Associatlon and review'your deed for any restrictions wnlcn 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 accordancewith 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 iooms and accessory uses to another non-residential use
I'}YARNING TO O}YHER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY" A NOTICE OF COMMENCEMENT
RESULT IN YOUR PAYING
MUST BE RECORDED AHD
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO AtN FINANCING, CONSULT
WITH YOUR AN A,]FTffifrEY'EEFORE RECORDING YOUR NOTICE
Signature of Contra ense Holder
STATE OF FLORIDAO lT I .
COUNTy OF N,zL;.74 (-"rc.'f
Ifl : H [,"i
n str
?pha,asd
ck n ow I
TSS, ;1"",. "
*oa u lNactvN
Name of person making statement.
Personally Known t OR Produced tdentification
Type of ldentification
(Signature of ry Public- State of Florida )
Signature of Owner/ontractor as Agent for Owner
STATE OF FLORI
COUNTY OF t
e of person making statement.
Personally Known U/ oR Produced ldentification
Type of ldentification
Produced
Commission No,
The forgoing instrun2enf was.acknowledged before me
this!,foldayot /l-(tk L ,zozo by
Public- State of Florida )
REVIEW
PLANS
REVIEWCOUNTER
DATE
COMPLETED