Loading...
HomeMy WebLinkAboutBuilding Permitggg ER{ D VIT: Phone - Application is hereby made to obtain a gerezuf do the work and enstait6,ti€an as indicated.g I certify thatno work or installation has commenced prior to the issuance of a permit Slhg4eCouny maloesnerepresentation that sgranting apermit wiliauthorizethepennitholdertobuildiiesubjectstructure wttich s in conflict with any applicable Hoare Owners Association Piles, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your de-ed many restrictions which may apply. In consideration of the granting of it& requested permit i do hereby agree that 4 will, in all respects, perform the work in accordance with the app plans, The Florida Building Codes a, id Si Lame County Amendments. t The following building pem�[ applications are exempt from undergoing a full c ncurren y review: room additions, accessory structures, s+a+rg pools fences, walls, signs, stceen rooms and accessory uses to another non-residentiat use 1 ARa`�iN€a TOO : Y lure to Record a Notice € f may rescan in your Nayingtwice for improvements to your property. A Notice of Commencement must be recorded and posted on the }obsite before the first inspection. if you intend to obtain financing, consult with tender or an attorney before commencingwork or recordingyour Notice of Commencement_ i t i Rev. 81-2/1? x i SUPPt.EN9€�FfAi_Ci� tiCTtOl1E ElEl�i I:i�i,��RtATTt#N_ DESiGNEIIJEidfiiPiEER: - _i+iot Applicable ti�iiRT�aA6E Alf: `toot Applicable Name- Mame: Address Address: State: City: State: Tip: Phone Zip:-Phone- FEE ip: Phona: FEE SiR+6PIE TE£i€ Applicable Signature of Cpntracior/ficersse Holder Signature o� j tesseefContractor Agent for caner Sf�iTE>�€FLORIDA t Si3tlPii'1f ` STATE DFFL€3RlDA �I Qi 5� {3F COUNTYOF The frtr�inghostru" was acorowledged beirue rrte this day of 20 ZO by The iorgoir� instrumeni was ackrwvrledge before me ths]d�-day of AA nw - 20� 6y F. boy le. lC�.¢i F � !� Name of person emenF t\iameofpersir sta meat Name: personally Known QR P€ndttced Identification fl� ,�pAl Name: i�t€it App€rcabie Address:. Produced Address: (Sigriatr-reaf it Slate of €lotida ) City: city: Zip: Phone: [ip: Phone: Comm ggg ER{ D VIT: Phone - Application is hereby made to obtain a gerezuf do the work and enstait6,ti€an as indicated.g I certify thatno work or installation has commenced prior to the issuance of a permit Slhg4eCouny maloesnerepresentation that sgranting apermit wiliauthorizethepennitholdertobuildiiesubjectstructure wttich s in conflict with any applicable Hoare Owners Association Piles, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your de-ed many restrictions which may apply. In consideration of the granting of it& requested permit i do hereby agree that 4 will, in all respects, perform the work in accordance with the app plans, The Florida Building Codes a, id Si Lame County Amendments. t The following building pem�[ applications are exempt from undergoing a full c ncurren y review: room additions, accessory structures, s+a+rg pools fences, walls, signs, stceen rooms and accessory uses to another non-residentiat use 1 ARa`�iN€a TOO : Y lure to Record a Notice € f may rescan in your Nayingtwice for improvements to your property. A Notice of Commencement must be recorded and posted on the }obsite before the first inspection. if you intend to obtain financing, consult with tender or an attorney before commencingwork or recordingyour Notice of Commencement_ i t i Rev. 81-2/1? x i SUPPt.EN9€�FfAi_Ci� tiCTtOl1E ElEl�i I:i�i,��RtATTt#N_ DESiGNEIIJEidfiiPiEER: - _i+iot Applicable ti�iiRT�aA6E Alf: `toot Applicable Name- Mame: Address Address: State: City: State: Tip: Phone Zip:-Phone- FEE ip: Phona: FEE SiR+6PIE TE£i€ Applicable Signature of Cpntracior/ficersse Holder Signature o� j tesseefContractor Agent for caner Sf�iTE>�€FLORIDA t Si3tlPii'1f ` STATE DFFL€3RlDA �I Qi 5� {3F COUNTYOF The frtr�inghostru" was acorowledged beirue rrte this day of 20 ZO by The iorgoir� instrumeni was ackrwvrledge before me ths]d�-day of AA nw - 20� 6y F. boy le. lC�.¢i F � !� Name of person emenF t\iameofpersir sta meat Personally Known �OProducerf Identification personally Known QR P€ndttced Identification Type of identification Type of Identification Produced Produced (Sigriatr-reaf it Slate of €lotida ) (Signature ,,..yP• CHRISTINE J. CON ELL ", Comm •'�`� Notary Public - St{tlorida WELL CHR TINE J. COM ;• a , •_ ommission # GG 61 839 z, Utary'Patrflc"3fate of Florida , =� a= My Comm. Expires Aug 21, 2020 Commission # GG 017839 '%`oF F`Op` I Nolar Assn. _ o' ° M Comm. Expires Au 21, 2920 Bonded through tional Notary Assn, REVIEWS F;ti;Alf ZLI�EiNCa SUPERVISOR ` P MANGROVE C(3iiNi� • REvlEva REVIEW REVIEW REifi!"Vft iiEVfEi�€ REVIEW DATE RECEIVED i}ATE C6AriPtEFEQ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S�7 %� Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 v/ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSE() IMPROVEMENT LOCATION: Address: t &(V i Q�( 3 i Legal Description: Cklld p 11A II,,V .P1 ?Uf V1ls K PropertyTaxlD#: �l`3�3- ���' ©DZS Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: l,�ke Fpr U Vo a 5 -�m1, t µ s e,> R. UlAb Af le, PktiaLit CONSTRUCTION INFORMATION: . ii a war to be ormed under tis permit- check all that apply: HVAC Gas Tank ❑Gas Piping _Shutters jE]j WindowsJDoors DElectric 0 Plumbing Sprinklers Generator U Roof Total Sq. Ft of Construction,Sq. Ft. of First Floor: Cost of Construction: $ Utilities: 0Sewer OSeptic Building Height: OWNERAESSEE: CONTRACTOR: Nam eDQ,y@i'OJ2LIP• ohtC S Name: Addresrs�:q1)"( NQ -1 / c VC Company: ( fi City: fYAMD �(! State: Ir ZipCo'de:, '3306q Address:510r Pr TLCfi'I ikg- City: fb(-b— r-(-c& State: R, TFax: Phone No. +LlA1,t - ! D g Vlln CAt- E-Mail: 5$' Zip Code: .3 5 Fax: -7 IL 14 & 40 -3-13`7 Phone No.-rig- -414-1 Fill in fee simple Title Holder on next page ( if different E-Mail State or County Licen e: `i. " I'81731$ from the Owner listed above) if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.