HomeMy WebLinkAboutBuilding Permit Applicationa
All APPLI Z4 CABLE b((
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '\
Date: `Z J - Z 0 Permit Number: "t
P
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
RECENED
APR'3'0 2010
Building Permit 14pp�IC8t1017
Permitting Department
St. Lude Covt,f-
Commercial Residential
Lot No.
Site Plan Name: /i Block No.
Project Name: V i l 1 I/� p _ C/� 5( LDn C'(
•-6QCi- 10 --,35% - 000-
M
Additional work to be performed under this permit - check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sg7liC-o-6-onstra� u '3*Z ( z
Cost of Cons u-dU : i- iQ
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
GONTMKACTOR;
l�a ne S
Name:
Address: t 5A�: WC om1 I#kfS
t)r-.
Company:
,�
'laity: ' q State:F
ip Code:3� / �Z Fax:
P one No. 7-? Z 240
Address:
City: State:_
Zip Code: Fax:
Phorie No
E Mail: `r(10141CO fyt , (t7 yi�i-l'IO0 r COw
Fi I in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail -
State or County License
1
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.
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 restrim-cr 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."
ev. �Xn n
m NC 37
N
�40
0
CO TR
DESIGNER/ENGINEER:
Name:
10
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City: `
City:
Zip: Phone:
Zip: Phone:
Aignaa
�i n�a� of Owner/ Lessee/Contractor as Age t for Owner
of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ,� .�.ClGi 'L
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this�day of �% 20by
this _ day of 2by
0_
Name of person making statement.
Name of person making statement. ,
�
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatio
Type of Identification
Prodju/c�ed�
Produced
(Signature of Notary P is -State of Florida)
ignature of Notary Public- State of Florida )
Commission No. (Seal)
?js'I'yo
mmission No. (Seal)
REVIEWS
FRONT
ZONING
SUP
Vg�=
LANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
RE
q3 o
VIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
o w. � °'
COMPLETED