HomeMy WebLinkAboutBuilding Permit Applicationm
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Date:
Planning and Development Services
Building and Code Regulation Division
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial
Residential
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PERMIT --I Y E* n
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PROPOSED IMPROVE.MENT LOCATIUtV0 1r
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Site Plan Name:
Project
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WORK:DETAILED.DESCRIPTION �;�
Additional work, t
Mechanical
Electric
Total Sq. Ft of
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Lot No.
Block No.
o be performed under this permit — check all that apply:
Construction:
Cost of Construc
Gas Tank
Plumbing
Gas Piping
Spri
OWNER/LESSEE:
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141I�ierC�
Name ��L�.
Shutters
nklers Generator
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height:
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Address: '5 __ 11 .00" Ji\a% I i f12� l7r
City:lt' State:
Zip Code. ��i�D Fax:
Phone No.
E -Mail:
Fillin fee simple Title Holder on next page (if different
from the Owner listed above)
If value o
If value o
f const -ruction is $2500 0
�Vame:l.
Company:
OWN
Address:'
City:
Zip Code: ->2jq Z(09
Phone No �Ll - ���
E -Mails
State or
County License
more, a RECORDED Notice of Commencemen
tice of Commencement is rwired.
t is r,ec
fired.
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Pitch
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_State - now
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Not Appii'cable Not Applicable
DESIGNER/ENGINEER" M,
9 , ORTGAGE COMPANY
Name:
Address:
City: State:
Zips* Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Namet
Address:
City: State:
Zip: Phone:
BONDING COMPANY: .,Not Applicable
Name:
Address: Address:
city:-- City: �
Z'1'
P Phone: Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT@s App
I certify that no work or installation has c
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lication is hereby made to obtain a permit to do the work and installation as indicated.
ommenced prior to the issuance, ot a permit.
St. Lucie County makes no representation that i,s granting a permit will authoriz
which is in conflict with any applicable Home Owners Association rules, bylaws
�rr"r+"ro PIPaGP f(1YICIIIt with vnur Hnme Owners Association and review your
e the permit holder to build the subject structui-e
or and covenants that may restrict or prolilbit such
deed for any restrictions which may apply.
1n consideration of the granting of this requested Permit, I do hereby agree that I will, in all respects, pertorm the work
i:n 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, swimmingpools, 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/Co;ntractor a,S Agent TOf
STATE OF Fk
COUNTY OF
The i ng instrument
this day of A by
Name of Person malk*ing staternentd
Personally Known " OR Produced Identification
Type of Identification
Produced R
(Signature of Notary Pbr6lic- St -ate of WrWilml,
.• � o� •.,, NICOLE mA91E SOCHEZ
Commi.ssion No. ' �.R' �'F;`•; Noiary�$pQ�1q State of Florida
Commission a GG .08050
My COMM, aP1rQ� Mir 512023
.. nr n.. acs MO,
REVIEWS FRON ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETEDev. 2/7/1-9
I
Signature of Contractor/License Holder
STATE OFF1
COUNTY OF
The r ing instrument was acknowledged before me
thisday of �,( , 2�by
Name of person making statement. i
Personally Known OR Produced Identification
Type of Identification,
Produced
(5'ignatufe of Notary P
go
Commission No.
PLANS
REVIFW
VEGETATI
REVIEW
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lit- State of Florida )
— tii�"-Aoa.
NICOtf�XA(P SANCHEZ
�;�` Notary Public - State of Florida
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My Comm. Exp res Mar 5, 2023
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