Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5 - a -O - -� Permit Number: Planning and Development Services 3uilding and Code Regulation Division 2,300 Virginia Avenue, Fort Pierce FL 34.982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit. Application v Commercial Resientiai PERMIT TYPE: PROPOSED IMPROVEMENT.LocAFn #�: ,- Address: 3 0 Cel a r Property Tax ID #: DOC 7 -000— Lot No. 3 > � � � � - Block No. Site Plan Name: Project Name: DETAILED DESt 1i ©N.Ct WORK: lite 1s�r t-Ifte q -r-. Jy5<<, (-�pnjc- AW zz-'P f' CONSTR6� INFO#+<#'+1FAM#�N Additional work to be performed under this permit- check all that apply: :,Mechanical _ Gas Tank _ Gas Piping —Shutters _ Windows/Doors Electric Plumbing Sprinklers Generator Roof Pitch __— � — —' Total Sq. Ft of Construction: Sq. Ft. of First floor: Cost of Construction: S yf 6?-' Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: NameChr- b-Oy'h -er") e�� rl Parr l/�O Address: City: ✓1 Remit Gf� State: Zip Code:� Lig5Fax: Phone No. q'�-q Li-- 3 7 3 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) ni,.,,o• Curtis Sammons Company: Custom Air Systems, Inc. 1615 SE Village Green Drive City: Port Saint Lucie State: FL Zip Code: 34952 Fax: 772-335-1968 Phone No 772-335-3232 E -Mail custairsys@aol.com State or County License CA0051810 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: Zip: Phone: City: Zip: Phone: 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit 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 of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/license Holder STATE OF FLORIDA �r STATE OF FLORIDA COUNTY OF �1/�L�-� COUNTY OF �C/f°L= The fnr oing instrument was acknowledged before me this aQn day of ✓IIA 20 ? -0 by Y,1 ni in i�n-5 Name of person making statement. Personally Known _�_ OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Norida ) CHRISTINE 3 EN Commission No. ar EXPIRES:AM4. The forgoing instrument was acknowledged before me this ;LQ day of� T 20g -D by euRrs S��nons Name of person making statement. Personally Known >1' OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Flori 1 CHRISTINE B El JSH ission No. Gt is �Sa Jr � 6 * �* e�, } EXPIRES:Apri� )21 -IFOV' eavJedTba&XWN* REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.