HomeMy WebLinkAboutRonnie Laneve 10T commercialAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Cko k 1- 0-0
.COUNTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
rtKIVll I I ypf_:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial ✓ Residential
Address:
Property Tax ID #: 000 3 _000 -
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 'I (O(D
OWNER/LESSEE:
Gas Piping
— Sprinklers
Shutters
_ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
CONTRACTOR:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
Name n Name: WAY V
Address: VIO 5 uS Company: � '-1-Ar'run'(c�
City: Pc St. Lkk(L State:FL Address: OS' Wt . 14w ir
Zip Code: Fax: City: P�[GtC� _ State:
Phone No. Zip Code: 3'-lel Fax 3 L1-;LI
E-Mail: l Phone No 1-7Z" 33,� -23LIr
Fill in fee simple Title Holder on next page ( if different E-Mail ALiI boYiC 6c' ' (Bi MSrd . CjW
from the Owner listed above} State or County License
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:
DESIGNE
Name:_
Address:
City:
Zip:
ilvttK: _ Not Applicable
Phone
State
FEE SIMPLE: TITLE HOLDER: , Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY;
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
State:
Not Applicable
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 \V�
COUNTY OF STATE OF FLORIDA
'S COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this
day of 20_ by this _ day of 20i by
Name of person making statement. Name of person making statement. ,
Personally Known,OR Produced Identification
Type of Identification
R[oduced
{Signature of Notary Pu c of RII�I 'c State o on
:° NWrd Mercado
Commission NO. l N^Y Commission GG I35118
Expir PC12021
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMP LET
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary
Commission No.
SUPERVISOR PLANS �VEGETATI
REVIEW REVIEW REVIEW
pF)S1ate of Florida
inda E Mercado
cornmi on G( 136118
ires OBl 11 I
ON
SEA TURTLE
REVIEW
MANGROVE
REVIEW
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