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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST ��BE��COMPLETED FOR APPLICATION TO BE ACCEPTED ff _ �� Q©V Date:tn " ©� r (.'o u Permit Numf; , f V h _ JUN 2 6 2020 r � Building Permit Appli :tf Planning and Development ServicesUl . ;? ? ��e�, '.`� w p Building and Code Regulation Division �� 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: PROP SE► IMPR0 YEMENT LOCATIONPM • Address: , L p t- \ Property Tax ID#: 0 b I,2 �.. of No. Site Plan Name: Block No. Project Name: DETAILED DE-�SCRdPTION OF WOR+K; n T -e' ,. L�'NSTRUfTIW INEORMAT C*)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'Hoor: Cost of Construction:$ i �� Utilities: —Sewer _.Septic Buirding Height: OWNER/LESSEE: 1 RN'TROT!ME Name Name r Address: �� Company: _ JE City: I State:_ Addr 2clJ t Zip Code: Fax: City: Z�r; C .� Ir Stater Phone No. Zip Code Fax: E-Mail: Phone No-7 Fill in fee simple Title Holder on next page(if different E-Mail -r from the Owner listed above) State o County Licens aCYT 19 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. F Mar 02 2020 5: 52PM HP LASERJET FAX p. 3 WNr� R Nsak ca MORTGAGE GDMPARf1f': Not.Applicable Name.— Name, Address; Address; City; State; City: State,- Zip: Phi Zip; Phone; Y FEE SIMPLE TITLE MOLDER: �Not Applicable BONDING OOMPAINY: -Not Applicable. Name`' Name- A,e_��d,}ry�_�d��ress., Address: CRY. Zip., Phone., Zip; Phone': — OWNER/CAN!'MAI OR AFFIDVIT;Appocavah is hweby mads to obtain a permitte do the Work and installation as f"ndicated. 1 cqrtffy that no work or Installation has commenod py4forto the Iswance of a permit: St a mai no repre entad n that is rantin8 a mit it1 a arize the permit holder to bund the ubJect s rpt re which Is in wn#11et with pp�icebls t�e.,ne C�tr�iere�ls9a #on ru ,bylaws r an �venastts thai may tri�4 pr prahI it such struetum,Pisses cxynsult�i your ante Owners Association and review your for anyrearictloms whit may apply. In consideradon of the granting of this requested permit,I do hansWagree that I will,inlall rasPsects,F"rm the work In wordana with the approved.playas,the Florida euildlng Codes and St.Lucie County Amendments, , The following bullrling permit applicatfans are exempt from undlargoing a full aowmrrenol reblaw:room additions, teary structures,swimming pools,Mews,wells,signs,screen rooms and accessary uses to another non-re 0der0al use 'WAIRIIIeNG TO OWWC YOUR FARUNI TO RMW A NOTICE OF MAY MIDI;LT N YOUR PAIi'!NC T"= FOR TO YOUR iPiRdl:r;gil7'Y. A NO= OF CONN11139011MY MUMT W npc=ED AIIfiA POLI M OM TW.II RITE MGM THIP? FUM MOUTIM W YOU W=0 TW ORTAMI F1111111AMllNC, CONMT WffH YOUR t OR AM ATTVIMY pfflM YGU!R NOT11M OF CONM1l CBMU." 31504ure O'ivnasAVntfvr0wnir-7 Signature of Contractor/License Wold STATE OF COUNTYOFD# 4 STATE OF COUNTY Of RIMA • 9 IL r The rgbing(n men was cnaw(ed �bbppffaro me The forgaing instru a t was acknoWedged before ma I thi av of 2�-1/by this y day of 20,�Ilty Ml � d . Norio of person making stal eat. 'Na of parson msking ststemariL Personoliy.Knawn OK Produced Identification Personally Known_OR Produced Identification `type of Idents icy of Iden0catl0n Praduced TINA BRIGIGS P used tete of Plarlde-NO ry P bl�c • Commisssien a 00200 8 My CMayp2,Z4Z2 p(r $A Ica 11 4 . ( , ray ofotary Public gnature of Notary Pubs State of Florida I C4mrniksion No.1194r (Seal). Gommissio t BREY B.HUNMk9 MY COMMISSION#GG 300817 9 0: PIKE . arlu REVIEWS FRONT ZONING SUPERVISOR PLMS ��QlD4nde ga@rpNgr � un OyE COUNTER REVIEW REVIEW REVIEW W LtA E RECEIVED . ATE COMPLETED ev.