HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: R e cho o d cc_�-�_
PROPOSE&IM01MVEMEN1 ACIAt
Address:
Property Tax ID #: Lot No.
Site Plan Name: Block No.
c�
Project Name: C'
DETAILED1iPTiJE WGRKtZim
C
Additional work to be performed under this permit -check all that apply:
_,�echanical _ Gas Tank —Gas Piping Shutters Windows/floors
Electric — Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft- of First Floor:
Cost of Construction: $ Utilities: Sewer _ Septic Building Height:
Name �~ iCA a Name: T- I -s'
Address: Company:
City: C State: T— ° Address -
Zip Code: _ Fax: City: State:
Phone No. 626 3 4 Q a 0 t 3 — Zip Code: Ca Fax:
E-Mail: Phone No �-
Fill in fee simple Title Holder an next page ( if different E-Mail 0 11 Ca
from the Owner listed above) State or County License C__- �L 7C 262
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.
7DESIGNERJENG NNEER: _ Not Applicable
MORTGAGE MPANY: Not Applicable
Name:
Name:
Address: -
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
fill lAll'11 ■ f`AK-M
--mv.ni %..vim i nmi-i %in iArriuvi i : Application is hereby made to obtain a permit to do the work and installation as indicated.
j 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, wails, 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 RFCORnINr. Yni io Nninirip nip enumciurruicur »
�Cotr�actorlLi�cense"H�olde
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o
STATE OF FLORIDA
STATE OF FLORIDA '
COUNTY
COUNTY OF S f• L. H c e
OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this /3 day of TL4 (!I 20,�& by
this day of 20_ by
J
Eb 21.5 CA r%e 14
Name of person making statement.
Personally Known OR Produced Identification
Name of person making statement.
Personally Known OR Produced Identification
Type Identifica ion roduced
Type of Identification
Produced
(Signature of Notary Pu
�IRY Pi OSMEL VALDES
(Signature of Notary Public- State of Florida)
Commission No. 66 3 *E --Notary }State of Florida
Comrnissior6
Commission No- (Seal)
# GG 358648
My Commission Expires
July 18, 2023
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Rev 2/7/19